| Memorial Regional Health | |
|
750 Hospital Loop Craig CO 81625 | |
| (970) 824-9411 | |
| (970) 826-3119 |
| Full Name | Memorial Regional Health |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 750 Hospital Loop, Craig, Colorado |
| Authorized Official Name and Position | Annalia Bailey (PROVIDER RELATIONS COORDINATOR) |
| Authorized Official Contact | 9708263132 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Regional Health 750 Hospital Loop Craig CO 81625-8750 Ph: (970) 824-9411 | Memorial Regional Health 750 Hospital Loop Craig CO 81625 Ph: (970) 824-9411 |
| NPI Number | 1063418424 |
|---|---|
| Provider Enumeration Date | 06/21/2005 |
| Last Update Date | 06/20/2024 |
| Medicare PECOS PAC ID | 1254231533 |
|---|---|
| Medicare Enrollment ID | O20040112000299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063418424 | NPI | - | NPPES |
| 04003463 | Medicaid | CO | |
| 05046008 | Medicaid | CO | |
| 24031020 | Medicaid | CO | |
| 06060164 | Medicaid | CO | |
| 04139309 | Medicaid | CO |
| Provider Name | Gerald Irving Myers |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205832722 PECOS PAC ID: 1052303062 Enrollment ID: I20040331000807 |
| Provider Name | Michael Scott Solomon |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891736633 PECOS PAC ID: 1254396641 Enrollment ID: I20041124000675 |
| Provider Name | Larry W Kipe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396794046 PECOS PAC ID: 0648284539 Enrollment ID: I20060131000109 |
| Provider Name | Jeffrey Womble |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780877530 PECOS PAC ID: 5991890279 Enrollment ID: I20071002000112 |
| Provider Name | Andreas Sauerbrey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568495729 PECOS PAC ID: 6800924721 Enrollment ID: I20100513000069 |
| Provider Name | Renee J Carson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861605008 PECOS PAC ID: 4880785534 Enrollment ID: I20110620000513 |
| Provider Name | Joshua Welch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477567543 PECOS PAC ID: 9638173156 Enrollment ID: I20120209000628 |
| Provider Name | Alexander Kent Meininger |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1730375940 PECOS PAC ID: 4789855313 Enrollment ID: I20121109000468 |
| Provider Name | Matthew C Grzegozewski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417163536 PECOS PAC ID: 8022105543 Enrollment ID: I20130909000463 |
| Provider Name | William R. Howarth |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841463882 PECOS PAC ID: 5698909281 Enrollment ID: I20140403000809 |
| Provider Name | Elise Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538365986 PECOS PAC ID: 5890933386 Enrollment ID: I20150129001612 |
| Provider Name | Tinh K Huyn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275716508 PECOS PAC ID: 4284769951 Enrollment ID: I20150205000021 |
| Provider Name | Brian Scott Michaud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346554813 PECOS PAC ID: 7810138799 Enrollment ID: I20150507000454 |
| Provider Name | Kalen J Abbott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174899314 PECOS PAC ID: 2365754439 Enrollment ID: I20150701002001 |
| Provider Name | Patrick B Johnston |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1073748653 PECOS PAC ID: 0345533840 Enrollment ID: I20160721000080 |
| Provider Name | Christopher B Willison |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1871759365 PECOS PAC ID: 8820238876 Enrollment ID: I20161109001743 |
| Provider Name | Derek D Harper |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1851723332 PECOS PAC ID: 9335421023 Enrollment ID: I20170112000869 |
| Provider Name | Trey Nathaniel Gorham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356897698 PECOS PAC ID: 5496043226 Enrollment ID: I20170502000396 |
| Provider Name | Jordan P Christensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871955815 PECOS PAC ID: 0446527980 Enrollment ID: I20170605000450 |
| Provider Name | Daniel John Wandsneider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992191290 PECOS PAC ID: 4587961735 Enrollment ID: I20180109000921 |
| Provider Name | Dana Miller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275563686 PECOS PAC ID: 4587735576 Enrollment ID: I20180626000056 |
| Provider Name | Adam Wilson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467695072 PECOS PAC ID: 1254562218 Enrollment ID: I20180821002936 |
| Provider Name | Alejandro David Miranda |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275859480 PECOS PAC ID: 7416231162 Enrollment ID: I20180904002553 |
| Provider Name | Lauren M Good |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1427379874 PECOS PAC ID: 9133341878 Enrollment ID: I20190109000431 |
| Provider Name | Ryan Murphy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356728166 PECOS PAC ID: 0143556647 Enrollment ID: I20190722001561 |
| Provider Name | Authumn Nichole Santellana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700316148 PECOS PAC ID: 4082046453 Enrollment ID: I20191125000334 |
| Provider Name | Anna Francesca Schubert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134574080 PECOS PAC ID: 0143513044 Enrollment ID: I20210503000878 |
| Provider Name | Walter Colin Stewart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801383146 PECOS PAC ID: 7719235316 Enrollment ID: I20210714001889 |
| Provider Name | Bridget Mucha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760092001 PECOS PAC ID: 7012310139 Enrollment ID: I20210728000104 |
| Provider Name | Tracy Dierksen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689972325 PECOS PAC ID: 7719132810 Enrollment ID: I20210915003695 |
| Provider Name | Matthew Sprague Rice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710957386 PECOS PAC ID: 8426309493 Enrollment ID: I20211027002002 |
| Provider Name | Alfred Maina |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558797332 PECOS PAC ID: 2163658402 Enrollment ID: I20220221000548 |
| Provider Name | John A Sielatycki |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629335658 PECOS PAC ID: 2961705546 Enrollment ID: I20220228000529 |
| Provider Name | Aaron Stewart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275020877 PECOS PAC ID: 9032467279 Enrollment ID: I20220323001160 |
| Provider Name | Robert Samuelson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003881301 PECOS PAC ID: 0042201857 Enrollment ID: I20220504001265 |
| Provider Name | Jeffrey Belisle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952625840 PECOS PAC ID: 0446578108 Enrollment ID: I20220603001734 |
| Provider Name | Sarah Lynn Hartman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1194274704 PECOS PAC ID: 5193129252 Enrollment ID: I20221212001411 |
| Provider Name | Lynn Tyson Sloan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1952668071 PECOS PAC ID: 0042506222 Enrollment ID: I20221229002820 |
| Provider Name | Melissa Anne Almon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275014748 PECOS PAC ID: 7618347543 Enrollment ID: I20230110001257 |
| Provider Name | Lynn Marie Ames |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548996655 PECOS PAC ID: 4183082258 Enrollment ID: I20230621003243 |
| Provider Name | Saloni Malik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285154633 PECOS PAC ID: 2860761061 Enrollment ID: I20230824003474 |
| Provider Name | Jeffrey Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578580171 PECOS PAC ID: 1456314095 Enrollment ID: I20230914000549 |
| Provider Name | Frederick Taylor Lynch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073176723 PECOS PAC ID: 8820419922 Enrollment ID: I20231025004039 |
| Provider Name | Tatum Dawn Tyler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316630940 PECOS PAC ID: 1759732373 Enrollment ID: I20240109000342 |
| Provider Name | Lysandra Presley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386180529 PECOS PAC ID: 0244515104 Enrollment ID: I20240213001181 |
| Provider Name | Sandra Mostaccio-sweeney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689695199 PECOS PAC ID: 6406929579 Enrollment ID: I20240417000605 |
| Provider Name | Adam Bogomol |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750366019 PECOS PAC ID: 1759281629 Enrollment ID: I20240515003365 |
| Provider Name | Ralph Gallo |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1255372876 PECOS PAC ID: 7315954492 Enrollment ID: I20240522004106 |
High Country Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 535 Yampa Ave, Suite 300, Craig, CO 81625 Phone: 970-824-6530 Fax: 970-826-0915 | |
Northwest Colorado Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 745 Russell St, Craig, CO 81625 Phone: 970-824-8233 Fax: 970-824-2548 | |
Northwest Colorado Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 745 Russell Steet, Craig, CO 81625 Phone: 970-824-8233 Fax: 970-824-2548 | |
Knerl Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 Hospital Loop, Craig, CO 81625 Phone: 702-453-3799 Fax: 702-453-5741 | |
Mountain Medical Specialists, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 595 Russell St, Craig, CO 81625 Phone: 970-826-0911 Fax: 970-826-0910 | |
Memorial Regional Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 600 Russell St, Craig, CO 81625 Phone: 970-824-3252 |