Organization
KREMMLING MEMORIAL HOSPITAL DISTRICT
Active
Parent organization
KREMMLING MEMORIAL HOSPITAL DISTRICT
Other names
Middle Park Health - Grand Lake Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
KREMMLING MEMORIAL HOSPITAL DISTRICT
Authorized official
KELLY S CLASEN (SR. DIRECTOR, BUSINESS OPERATIONS)
(307) 699-2413
Entity
Organization
Contact information
Practice address
301 MARINA DRIVE, GRAND LAKE, CO 80447-0000
(970) 557-6044
(970) 724-9446
Mailing address
PO BOX 399, KREMMLING, CO 80459-0399
(970) 724-3171
(970) 724-9446
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000141155
—
CO
Enumeration date
09/06/2019
Last updated
01/25/2021
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