Organization
KREMMLING MEMORIAL HOSPITAL DISTRICT
Active
Parent organization
KREMMLING MEMORIAL HOSPITAL DISTRICT
Other names
Middle Park Medical Center, Granby
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 80446-8900
(970) 887-5800
Mailing address
PO BOX 399, KREMMLING, CO 80459-0399
(970) 887-5800
(970) 887-5891
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05090006
—
CO
Enumeration date
06/09/2021
Last updated
06/09/2021
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