# MEMORIAL HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Memorial Hospital Phys Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568668754
- **Authorized official:** MR. MIKE SCIALDONE (CEO)
- **Authorized official phone:** (719) 365-2068

## Contact information

- **Practice address:** 1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
- **Practice address phone:** (719) 365-5000
- **Mailing address:** PO BOX 460, COLORADO SPRINGS, CO 80901-0460
- **Mailing address phone:** (719) 365-5242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | CO | Yes |

## Other

- **Enumeration date:** 06/25/2007
- **Last updated:** 07/21/2022