Kremmling Memorial Hospital District
Clinic/Center, Rural Health in Granby, CO. Organization (NPI-2).
NPI number1124456629
StatusActive
Last updated in NPPESMar 18, 2024
Details
- NPI
- 1124456629
- Entity type
- Organization (NPI-2)
- Legal business name
- Kremmling Memorial Hospital District
- Organization subpart
- Yes
- Enumeration date
- Oct 18, 2013
- Certification date
- Mar 18, 2024
- Last updated
- Mar 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR1300X | Clinic/Center, Rural Health | – | CO | Yes |
| 261QC0050X | Clinic/Center, Critical Access Hospital | 010804 | CO | |
| 261QM1300X | Clinic/Center, Multi-Specialty | 00.0000156 | CO | |
| 261QM1300X | Clinic/Center, Multi-Specialty | 0000156 | CO |
Other names
- Dba Middle Park Medical Center (Doing Business As)
Practice location
1000 Granby Park Drive SouthGranby, CO 80446-1169
Phone 970-724-3442 · Fax 970-724-9606
Mailing address
Po Box 399Kremmling, CO 80459-0399
Phone 970-724-3442 · Fax 970-724-9606
Authorized official
Jason Marshall Cleckler
Ceo
9702082907
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