# MEMORIAL HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEMORIAL HEALTH SYSTEM
- **Other names:** Memorial Physician Network-Cardiothoracic Surgery
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1316265705
- **Legal business name:** MEMORIAL HEALTH SYSTEM
- **Authorized official:** MARY JO YANTIS (VICE PRESIDENT)
- **Authorized official phone:** (719) 365-9951

## Contact information

- **Practice address:** 175 S UNION BLVD, \#115, COLORADO SPRINGS, CO 80910-3113
- **Practice address phone:** (719) 365-9951
- **Mailing address:** 175 S UNION BLVD, \#115, COLORADO SPRINGS, CO 80910-3113
- **Mailing address phone:** (719) 365-9951

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/10/2010
- **Last updated:** 06/16/2010