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Kremmling Memorial Hospital District

Organization Active NPI Family Medicine Physician · Granby, CO

NPI 1548066178 · NPPES record last updated Feb 24, 2025

Key facts

NPI
1548066178
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
KREMMLING MEMORIAL HOSPITAL DISTRICT
Practice address
1000 Granby Park Dr S
Granby, CO 80446-5304
Phone
(970) 724-3442
Fax
(970) 724-9606
NPI assigned
Feb 24, 2025
Organization subpart
Yes
Parent organization (as reported)
KREMMLING MEMORIAL HOSPITAL DISTRICT

Authorized official

Name
Jason Marshall Cleckler
Title
Ceo
Phone
(970) 208-2907

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 16

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Kremmling Memorial Hosp (17 organizations share this tax ID)
Part of
Kremmling Memorial Hosp

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

1000 Granby Park Dr S
Granby, CO 80446-5304

Mailing address

PO Box 399
Kremmling, CO 80459-0399
Phone (970) 724-3442

Other names

  • Middle Park Medical Center Doing business as

Other providers in Granby, CO

All providers in Granby, CO · Family Medicine Physician in Colorado

Sources for this page

Verify at the official NPI Registry.