NPIMap

Organization Active NPI

The Memorial Hospital

Doing business as Signature Specialty Clinic

  • Multi-Specialty Clinic/Center
  • Steamboat Springs, CO
National Provider Identifier
1750958229
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
THE MEMORIAL HOSPITAL
Doing business as
Signature Specialty Clinic
Practice address
2201 Curve PLZ Unit a-101
Steamboat Springs, CO 80487-5194
Phone
(970) 826-8440
NPI assigned
Jun 4, 2021
Last updated
Mar 20, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
THE MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Annalia Bailey
Title
Provider Coordinator
Phone
(970) 826-3132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2201 Curve PLZ Unit a-101
Steamboat Springs, CO 80487-5194

Mailing address

750 Hospital Loop
Craig, CO 81625-8750
Phone (970) 826-9411

Other names 1

  • Signature Specialty Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040112000299 CO Part B Supplier - Clinic/Group Practice 1254231533 Receives reassigned benefits from 93 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Craig, CO; Steamboat Springs, CO

Other NPIs on the same Medicare enrollment 2

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2304758Signature Specialty Clinic2201 Curve Plaza, Unit a 101, Steamboat Springs, CO 80487Provider-performed microscopyMay 16, 2028

National Provider Directory

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

Practitioners & affiliated clinicians

Practitioners 25

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 25

NPI Registry JSON

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1750958229",
    "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": "970-826-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 CURVE PLZ UNIT A-101",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804875194",
            "telephone_number": "970-826-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MEMORIAL HOSPITAL",
        "enumeration_date": "2021-06-04",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "ANNALIA",
        "authorized_official_title_or_position": "PROVIDER COORDINATOR",
        "authorized_official_telephone_number": "970-826-3132"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature Specialty Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Steamboat Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.