Healthcare Provider Details

I. General information

NPI: 1861201626
Provider Name (Legal Business Name): THE MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2025
Last Update Date: 01/06/2025
Certification Date: 01/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 HOSPITAL LOOP
CRAIG CO
81625-8750
US

IV. Provider business mailing address

750 HOSPITAL LOOP
CRAIG CO
81625-8750
US

V. Phone/Fax

Practice location:
  • Phone: 970-824-9411
  • Fax: 970-826-3116
Mailing address:
  • Phone: 970-824-9411
  • Fax: 970-826-3116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ANNALIA BAILEY
Title or Position: PROVIDER RELATIONS COORDINATOR
Credential:
Phone: 970-824-9411