Active NPI
Memorial Health System
- Specialist
- Colorado Springs, CO
National Provider Identifier
1316265697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- MEMORIAL HEALTH SYSTEM
- Practice address
- 8890 N Union Blvd
Suite 160
Colorado Springs, CO 80920-7799 - Phone
- (719) 354-9951
- NPI assigned
- May 11, 2010
- Organization subpart
- Yes
- Parent organization
- MEMORIAL HEALTH SYSTEM
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Jo Yantis
- Title
- Vice President
- Phone
- (719) 365-9951
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
8890 N Union Blvd
Suite 160
Colorado Springs, CO 80920-7799
Mailing address
8890 N Union Blvd
Suite 160
Colorado Springs, CO 80920-7799
Phone (719) 354-9951
Other names 1
- Memorial Physician Network- Pediatric Orthopedics
National Provider Directory
National Provider Directory- Part of
- Memorial Health System
Locations
8890 N Union Blvd
Ste 160
Colorado Springs, CO 80920
Phone (719) 364-8840
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1568668754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276646400000",
"number": "1316265697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8890 N UNION BLVD",
"address_2": "SUITE 160",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809207799",
"telephone_number": "719-354-9951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8890 N UNION BLVD",
"address_2": "SUITE 160",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809207799",
"telephone_number": "719-354-9951"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEMORIAL HEALTH SYSTEM",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEMORIAL HEALTH SYSTEM",
"enumeration_date": "2010-05-11",
"last_updated": "2010-06-16",
"status": "A",
"authorized_official_last_name": "YANTIS",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "JO",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "719-365-9951"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Memorial Physician Network- Pediatric Orthopedics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.