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MEMORIAL PHYSICIAN NETWORK - PEDIATRIC SUBSPECIALTY
NPI 1164740700
Specialist in Colorado Springs, CO

Active since May 06, 2010
2121 E LA SALLE ST, COLORADO SPRINGS, CO 80909(719) 354-9951 Get Directions Write a Review

NPPES record last updated: June 16, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Memorial Physician Network - Pediatric Subspecialty NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEMORIAL PHYSICIAN NETWORK - PEDIATRIC SUBSPECIALTY (NPI 1164740700) is a healthcare organization registered as a specialist in Colorado Springs, Colorado and active in the NPI registry since May 2010. The organization lists Mary Jo Yantis, Vice President, as its authorized official.

NPPES Registry Identity

NPI1164740700
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMEMORIAL HEALTH SYSTEM
Location Address2121 E LA SALLE STColorado Springs, CO 80909-2270
Mailing Address2121 E La Salle StColorado Springs, CO 80909-2270 · (719) 354-9951
Phone(719) 354-9951
Organization SubpartYes
Authorized OfficialMary Jo YantisVice President · (719) 365-9951
Enumeration DateMay 6, 2010
Last NPPES UpdateJune 16, 2010
✔ NPI 1164740700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2121 E LA SALLE ST, Colorado Springs, CO 80909
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Other Names 1

Doing Business AsMemorial Physician Network - Pediatric Subspecialty

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Memorial Health System's NPI number?

The NPI number for Memorial Health System is 1164740700. It was assigned to this organization in the NPPES registry on May 6, 2010. The provider is doing business as Memorial Physician Network - Pediatric Subspecialty.

Where is Memorial Health System located?

Memorial Health System is located at 2121 E La Salle St, Colorado Springs, CO 80909. The listed phone number is (719) 354-9951.

What is Memorial Health System's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Memorial Health System was last updated on June 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.