Organization
MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN THOMAS (MANAGER)
(719) 365-6614
Entity
Organization
Contact information
Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 365-5000
Mailing address
PO BOX 1436, COLORADO SPRINGS, CO 80901-1436
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
63676010
—
CO
Enumeration date
07/11/2006
Last updated
08/22/2020
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