Memorial Hospital

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MEMORIAL HOSPITAL

Practice address

1400 E Boulder St
Colorado Springs, CO 80909-5533

Phone

(719) 365-5000

NPI assigned

Jul 11, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ann Thomas

Title

Manager

Phone

(719) 365-6614

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164457768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1436",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809011436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E BOULDER ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095533",
            "telephone_number": "719-365-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "719-365-6614"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "63676010",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Memorial Health System (Memorial Physician Network-Cardiothoracic Surgery)
• Memorial Health System (Memorial Physician Network- Hematology Oncology)
• Memorial Health System (Memorial Physician Network- Pediatirc Surgery)
• Memorial Health System (Memorial Hospital Phys Group)
• Memorial Health System (Memorial Physician Network - Senior Clinic)
• Memorial Hospital
• Memorial Hospital
• Evelyn Hope Mena, CNS, RXN
• Reuben Severo Mena, OD
• Saundra Mena

• Internal Medicine Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.