Kremmling Memorial Hospital District
Organization Active NPI Family Medicine Physician · Fraser, CO
NPI 1992502033 · NPPES record last updated Feb 26, 2025
Key facts
- NPI
- 1992502033
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- KREMMLING MEMORIAL HOSPITAL DISTRICT
- Practice address
- 31 Telemark Drive
Fraser, CO 80442-0000 - Phone
- (970) 887-5800
- Fax
- (970) 887-5891
- NPI assigned
- Feb 26, 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
Corporate family (same tax ID) 16
National Provider Directory
- Tax ID family
- Kremmling Memorial Hosp
- Part of
- Kremmling Memorial Hosp
Locations
31 Telemark Dr
Fraser, CO 80442
Phone (302) 223-4448
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
31 Telemark Drive
Fraser, CO 80442-0000
Mailing address
PO Box 399
Kremmling, CO 80459-0399
Phone (970) 887-5800
Other names
- Middle Park Medical Center - Fraser
Other providers in Fraser, CO
- Katherine Suzanne Klockau
- Kremmling Memorial Hospital District
- Kremmling Memorial Hospital District
- Kremmling Memorial Hospital District
- Kremmling Memorial Hospital District
- Astrid Stephanie Lampey
- Regan Charles Lofgreen
- Rinat Ludwig
- Cory Matoska
- Joshua C Merrick
All providers in Fraser, CO · Family Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.