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Organization
MEMORIAL HEALTH SYSTEM
Active
Organization
MEMORIAL HEALTH SYSTEM
Active
Other names
Memorial Hospital Phys Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE SCIALDONE (CEO)
(719) 365-2068
Entity
Organization
Contact information
Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 365-5000
Mailing address
PO BOX 460, COLORADO SPRINGS, CO 80901-0460
(719) 365-5242
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0244
CO
207R00000X
Internal Medicine Physician
0244
CO
207V00000X
Obstetrics & Gynecology Physician
0244
CO
208000000X
Pediatrics Physician
0244
CO
208600000X
Surgery Physician
0244
CO
208M00000X
Hospitalist Physician
0244
CO
282N00000X
General Acute Care Hospital
Primary
—
CO
Other
Enumeration date
06/25/2007
Last updated
07/21/2022
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