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General NPI Number Information
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NPI Number | 1861201626
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Entity Type | Organization
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Legal Business Name | THE MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 750 HOSPITAL LOOP
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City | CRAIG
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State | CO
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Zip | 81625-8750
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Country | US
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Telephone | 970-824-9411
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Fax | 970-826-3116
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Provider Business Mailing Address
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Address Line | 750 HOSPITAL LOOP
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City | CRAIG
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State | CO
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Zip | 81625-8750
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Country | US
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Telephone | 970-824-9411
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Fax | 970-826-3116
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Authorized Official
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Title or Position | PROVIDER RELATIONS COORDINATOR
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Name | ANNALIA BAILEY
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Credential |
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Telephone | 970-824-9411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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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 | 333300000X
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Taxonomy Name | Emergency Response System Companies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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