Montrose Memorial Hospital, Inc
Organization Active NPI Obstetrics & Gynecology Physician · Montrose, CO
NPI 1871204792 · NPPES record last updated Apr 21, 2025
Key facts
- NPI
- 1871204792
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- MONTROSE MEMORIAL HOSPITAL, INC
- Practice address
- 800 S 3Rd St
Montrose, CO 81401-4212 - Phone
- (970) 249-2211
- NPI assigned
- Dec 12, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- MONTROSE MEMORIAL HOSPITAL, INC
Authorized official
- Name
- Megan Beaver
- Title
- Claims Anaylst
- Phone
- (970) 252-2691
Other NPIs on the same Medicare enrollment 18
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Part of
- Montrose Memorial Hosp Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | Yes |
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
- Alpine Women's Centre Hospital Campus
NPI Registry JSON
{
"created_epoch": "1670803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745193600000",
"number": "1871204792",
"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"
},
{
"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": "970-249-2211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONTROSE MEMORIAL HOSPITAL, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MONTROSE MEMORIAL HOSPITAL, INC",
"enumeration_date": "2022-12-12",
"last_updated": "2025-04-21",
"certification_date": "2025-04-21",
"status": "A",
"authorized_official_last_name": "BEAVER",
"authorized_official_first_name": "MEGAN",
"authorized_official_title_or_position": "CLAIMS ANAYLST",
"authorized_official_telephone_number": "970-252-2691"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Alpine Women's Centre Hospital Campus",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.