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DELTA COUNTY MEMORIAL HOSPITAL NPI 1558928515


NPI Information

NPI: 1558928515
Provider Name: DELTA COUNTY MEMORIAL HOSPITAL

Doing Business As: GRAND MESA UROLOGY

Classification: Urology - 208800000X
Entity Type: Organization
Address:
1501 E 3RD ST
DELTA, CO
ZIP 81416
Phone: (970) 399-2890
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DELTA COUNTY MEMORIAL HOSPITAL is an urology in Delta, CO. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. DELTA COUNTY MEMORIAL HOSPITAL NPI is 1558928515. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Grand Mesa Urology.

The provider's business location address is:

1501 E 3RD ST
DELTA, CO
ZIP 81416-815
Phone: (970) 399-2890
Fax: (970) 399-2891

The provider's authorized official is Jody Roeber .
The authorized official title is Cco and has the following contact phone number (970) 874-2256.

The enumeration date for this NPI number is 5/24/2019 and was last updated on 12/23/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RR0500XInternal MedicineRheumatologyNo
2208800000XUrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
104825048MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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