NPIMap

Organization Active NPI

Montrose Memorial Hospital, Inc

Doing business as Montrose Regional Health

  • Emergency Medicine Physician
  • Montrose, CO
National Provider Identifier
1528083771
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
MONTROSE MEMORIAL HOSPITAL, INC
Doing business as
Montrose Regional Health
Practice address
800 S 3Rd St
Montrose, CO 81401-4212
Phone
(970) 240-2211
Fax
(970) 240-7723
NPI assigned
Jul 12, 2006
Last updated
Jun 14, 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 Jun 14, 2024

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

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary
Internal Medicine Physician 207R00000X
Cardiovascular Disease Physician 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 2

IdentifierTypeStateIssuer
04808044MedicaidCO
MOD2004OtherANTHEM BLUE CROSS BLUE SH

Other names 1

  • MONTROSE REGIONAL HEALTH Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

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

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
Part of
Montrose Mem Hosp

Locations

711 N Taylor St
Ste 200
Gunnison, CO 81230
Phone (970) 240-1020

600 S 5th St
Unit A
Montrose, CO 81401

816 S 5th St
Montrose, CO 81401
Phone (970) 240-4311

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 164

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 164

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1528083771",
    "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": "970-240-2211",
            "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": "970-240-2211",
            "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": "2006-07-12",
        "last_updated": "2024-06-14",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "BEAVER",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "ANALYST",
        "authorized_official_telephone_number": "970-252-2691"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04808044",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "MOD2004",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MONTROSE REGIONAL HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montrose, CO

Sources for this page

Verify at the official NPI Registry.