NPIMap

Organization Active NPI

The Memorial Hospital

Doing business as Memorial Regional Health

  • Land Ambulance
  • Craig, CO
National Provider Identifier
1669288809
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
THE MEMORIAL HOSPITAL
Doing business as
Memorial Regional Health
Practice address
750 Hospital Loop
Craig, CO 81625-8750
Phone
(970) 824-9411
Fax
(970) 826-3116
NPI assigned
Dec 3, 2024
Last updated
Dec 3, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
THE MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Amber L Turvey
Title
Revenue Cycle Director
Phone
(970) 826-3126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

750 Hospital Loop
Craig, CO 81625-8750

Mailing address

750 Hospital Loop
Craig, CO 81625-8750
Phone (970) 824-9411

Other names 1

  • Memorial Regional Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061104000568 CO Part A Provider - Critical Access Hospital 1254231533 Receives reassigned benefits from 77 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Craig, CO
O20250203003583 CO Part B Supplier - Ambulance Service Supplier 1254231533 Practice locations: Craig, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669288809. Details of each certification follow.

Hospital certification: CCN 061314

Legal name
THE MEMORIAL HOSPITAL
Doing business as
MEMORIAL REGIONAL HEALTH
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Mar 1, 2002
Last certification
Jul 19, 2018
Beds
25
Ownership / control type
Local
Organization structure
GovernmentNon-profit
Incorporated
in CO
Enrollment address
750 Hospital Loop
Craig, CO 81625-2019
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

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 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Memorial Hospital, theCCN 061314 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
The Memorial Hospital10 organizations share this tax ID, including this one
Part of
The Memorial Hospital

Other organizations with this tax ID 9

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1111 W Victory Way
Craig, CO 81625
Phone (435) 790-4170

473 Yampa Ave
Craig, CO 81625
Phone (970) 824-5992

750 Hospital Loop
Craig, CO 81625
Phone (970) 824-9411

785 Russell St
#100
Craig, CO 81625
Phone (970) 824-5759

2201 Curve Plz
Unit A-101
Steamboat Springs, CO 80487
Phone (970) 819-1710

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Denise K Arola Individual Corporate DirectorBoard Chair May 1, 2020
County of Moffat Organization, Craig, CO 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%
Kelly Hepworth Individual Corporate DirectorBoard Member Jan 31, 2017
John Ponikvar Individual Corporate DirectorBoard Member May 1, 2023
Steve Hilley Individual Corporate DirectorBoard Member May 1, 2024
Allan Reishus Individual Corporate DirectorBoard Vice Chair May 1, 2021
Jennifer Riley Individual Corporate OfficerCeo Dec 1, 2010
W-2 Managing Employee Oct 21, 2021

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • County of Moffat

    dba Moffat County Public Health

    • Public Health or Welfare Agency
    • Craig, CO
    • NPI 1164054292

    5% Or Greater Direct Ownership Interest

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 92

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 92

Affiliated clinicians 121

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 121

NPI Registry JSON

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1669288809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 HOSPITAL LOOP",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816258750",
            "telephone_number": "970-824-9411",
            "fax_number": "970-826-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 HOSPITAL LOOP",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816258750",
            "telephone_number": "970-824-9411",
            "fax_number": "970-826-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MEMORIAL HOSPITAL",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "TURVEY",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "970-826-3126"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Regional Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Craig, CO

Sources for this page

Verify at the official NPI Registry.