NPIMap

Organization Active NPI

Montrose Memorial Hospital, Inc

  • Diagnostic Radiology Physician
  • Montrose, CO
National Provider Identifier
1437997947
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
MONTROSE MEMORIAL HOSPITAL, INC
Practice address
800 S 3Rd St
Montrose, CO 81401-4212
Phone
(970) 252-2691
Fax
(970) 240-7723
NPI assigned
Jul 18, 2024
Last updated
Jul 18, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MONTROSE MEMORIAL HOSPITAL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Megan Beaver
Title
PFS Analyst
Phone
(970) 252-2691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

800 S 3Rd St
Montrose, CO 81401-4212

Mailing address

800 S 3Rd St
Montrose, CO 81401-4212
Phone (970) 252-2691

Other names 1

  • MONTROSE REGIONAL HEALTH RADIOLOGY Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WI, AZ, TN, TX, GA, MS, PA, NV, CA10 enrollments

Enrollment records 10

Enrollment IDStateProvider typePAC IDDetails
O20040119000579 CO Part B Supplier - Clinic/Group Practice 1658272992 Receives reassigned benefits from 162 practitioners
20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Montrose, CO; Telluride, CO; Motnrose, CO; Gunnison, CO; Delta, CO; Cortez, CO
O20241216000234 WI Part B Supplier - Clinic/Group Practice 1658272992 Receives reassigned benefits from 2 practitioners
Practice locations: Middleton, WI; Verona, WI
O20241224000847 AZ Part B Supplier - Clinic/Group Practice 1658272992 Receives reassigned benefits from 1 practitioner
Practice locations: Paradise Valley, AZ; Tucson, AZ
O20241231003273 TN Part B Supplier - Clinic/Group Practice 1658272992 Receives reassigned benefits from 1 practitioner
Practice locations: Signal Mountain, TN
O20250224002338 TX Part B Supplier - Clinic/Group Practice 1658272992 Receives reassigned benefits from 43 practitioners
O20250226002630 GA Part B Supplier - Clinic/Group Practice 1658272992 Receives reassigned benefits from 2 practitioners
Practice locations: Alpharetta, GA; Atlanta, GA
O20250521003795 MS Part B Supplier - Clinic/Group Practice 1658272992 Receives reassigned benefits from 2 practitioners
Practice locations: New Albany, MS
O20250714000422 PA Part B Supplier - Clinic/Group Practice 1658272992 Receives reassigned benefits from 1 practitioner
Practice locations: Flourtown, PA
O20250714003435 NV Part B Supplier - Clinic/Group Practice 1658272992 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV
O20260114002960 CA Part B Supplier - Clinic/Group Practice 1658272992 Receives reassigned benefits from 2 practitioners
Practice locations: San Francisco, CA; Sherman Oaks, CA; Newport Coast, CA

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 18

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 18

National Provider Directory

National Provider Directory
Tax ID family
Montrose Memorial Hosp23 organizations share this tax ID, including this one
Part of
Montrose Memorial Hosp

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

236 Cottonwood St
Delta, CO 81416
Phone (970) 874-7681

3330 S Rio Grande Ave
Ste 100
Montrose, CO 81401
Phone (970) 249-2211

600 S 5th St
Fl 1
Montrose, CO 81401
Phone (970) 497-8004

600 S 5th St
Fl 2
Montrose, CO 81401
Phone (970) 497-8031

715 S 3rd St
Slp Ctr
Montrose, CO 81401
Phone (970) 252-2753

820 S 4th St
Montrose, CO 81401
Phone (970) 240-7369

900 S 4th St
Montrose, CO 81401
Phone (970) 240-7190

185 Sherman St
Ridgway, CO 81432
Phone (970) 626-4050

300 W Colorado Ave
#2B
Telluride, CO 81435
Phone (970) 728-1888

3101 Smith St
#S12
Houston, TX 77006
Phone (615) 848-8248

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Montrose Regional HealthMontrose, CO, CCN 060006 Hospital Operational/Managerial Control (100%) Nov 1, 2011
Montrose Regional Health AruMontrose, CO, CCN 06T006 Hospital Operational/Managerial Control Nov 1, 2011

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 221

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 221

NPI Registry JSON

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1437997947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S 3RD ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014212",
            "telephone_number": "970-252-2691",
            "fax_number": "970-240-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S 3RD ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014212",
            "telephone_number": "970-252-2691",
            "fax_number": "970-240-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTROSE MEMORIAL HOSPITAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTROSE MEMORIAL HOSPITAL, INC",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "BEAVER",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "PFS ANALYST",
        "authorized_official_telephone_number": "970-252-2691"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MONTROSE REGIONAL HEALTH RADIOLOGY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Montrose, CO

Sources for this page

Verify at the official NPI Registry.