Organization
KREMMLING MEMORIAL HOSPITAL DISTRICT
Active
Parent organization
KREMMLING MEMORIAL HOSPITAL DISTRICT
Other names
dba Middle Park Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
KREMMLING MEMORIAL HOSPITAL DISTRICT
Authorized official
JASON MARSHALL CLECKLER (CEO)
(970) 208-2907
Entity
Organization
Contact information
Practice address
1000 GRANBY PARK DRIVE SOUTH, GRANBY, CO 80446-1169
(970) 724-3442
(970) 724-9606
Mailing address
PO BOX 399, KREMMLING, CO 80459-0399
(970) 724-3442
(970) 724-9606
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
010804
CO
261QM1300X
Multi-Specialty Clinic/Center
00.0000156
CO
261QM1300X
Multi-Specialty Clinic/Center
0000156
CO
261QR1300X
Rural Health Clinic/Center
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000226213
—
CO
Enumeration date
10/18/2013
Last updated
03/18/2024
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