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NPI 1114698453

NPI 1114698453 : MONTROSE MEMORIAL HOSPITAL, INC : DELTA, CO

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General NPI Number Information
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    NPI Number           |    1114698453
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    Entity Type          |    Organization 
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    Legal Business Name  |    MONTROSE MEMORIAL HOSPITAL, INC 
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Dates
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    Enumeration Date     |    09/27/2021
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    Last Update Date     |    04/21/2025
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Provider Practice Location Address
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    Address Line         |    311 PALMER ST 
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    City                 |    DELTA
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    State                |    CO
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    Zip                  |    81416-1735
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    Country              |    US
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    Telephone            |    970-249-6737
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    Fax                  |    970-252-0112
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Provider Business Mailing Address
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    Address Line         |    800 S 3RD ST 
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    City                 |    MONTROSE
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    State                |    CO
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    Zip                  |    81401-4212
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    Country              |    US
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    Telephone            |    970-249-6737
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    Fax                  |    970-252-0112
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Authorized Official
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    Title or Position    |    PFS ANAYLST
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    Name                 |     MEGAN  BEAVER 
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    Credential           |    
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    Telephone            |    970-252-2691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207VX0000X
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    Taxonomy Name        |    Obstetrics Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    
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    License Number State |    
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