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Montrose Memorial Hospital, Inc

Organization Active NPI Emergency Medicine Physician · Montrose, CO

NPI 1528083771 · NPPES record last updated Jun 14, 2024

Key facts

NPI
1528083771
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Medicine Physician 207P00000X
Legal business name
MONTROSE MEMORIAL HOSPITAL, INC
Practice address
800 S 3Rd St
Montrose, CO 81401-4212
Phone
(970) 240-2211
Fax
(970) 240-7723
NPI assigned
Jul 12, 2006
Organization subpart
Yes
Parent organization (as reported)
MONTROSE MEMORIAL HOSPITAL, INC

Authorized official

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

Owned or controlled facilities with NPI records 2

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

Other NPIs on the same Medicare enrollment 18

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

Other NPIs with the same Medicare PAC ID 5

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

Practitioners 205

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 205

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO

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

Medicare enrollment records

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
Practice locations: Montrose, CO; Telluride, CO; Motnrose, CO; Gunnison, CO; Delta, CO; Cortez, CO

National Provider Directory

Part of
Montrose Memorial Hosp Inc

Locations

3330 S Rio Grande Ave
Ste 200
Montrose, CO 81401
Phone (970) 249-6737

600 S 5th St
Unit A
Montrose, CO 81401

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207P00000X Yes
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X
Cardiovascular Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RC0000X

Addresses

Primary practice location

800 S 3Rd St
Montrose, CO 81401-4212

Mailing address

800 S 3Rd St
Montrose, CO 81401-4212
Phone (970) 240-2211

Other identifiers

IdentifierTypeStateIssuer
MOD2004OtherANTHEM BLUE CROSS BLUE SH
04808044MedicaidCO

Other names

  • MONTROSE REGIONAL HEALTH Doing business as

Other providers in Montrose, CO

All providers in Montrose, CO · Emergency Medicine Physician in Colorado

Sources for this page

Verify at the official NPI Registry.