# MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619984754
- **Authorized official:** MRS. EILEEN ANN FLAVIN FNP (DIABETES CASE MANAGER)
- **Authorized official phone:** (719) 365-5000

## Contact information

- **Practice address:** 175 S UNION BLVD, COLORADO SPRINGS, CO 80910-3113
- **Practice address phone:** (717) 936-5510
- **Practice address fax:** (719) 365-6727
- **Mailing address:** 175 S UNION BLVD, COLORADO SPRINGS, CO 80910-3113
- **Mailing address phone:** (717) 936-5510
- **Mailing address fax:** (719) 365-6727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 363L0000X | CO | Yes |

## Other

- **Enumeration date:** 08/02/2006
- **Last updated:** 08/22/2020