Organization
KREMMLING MEMORIAL HOSPITAL DISTRICT
Active
Parent organization
KREMMLING MEMORIAL HOSPITAL DISTRICT
Other names
Middle Park Health - Specialty Clinic
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 SOUTH, GRANBY, CO 80446-8900
(970) 887-5800
(970) 887-5891
Mailing address
PO BOX 399, KREMMLING, CO 80459-0399
(970) 887-5800
(970) 887-5891
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04003281
—
CO
Enumeration date
09/09/2020
Last updated
09/09/2020
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