Dba Middle Park Medical Center

LBN: Kremmling Memorial Hospital District
Dba Middle Park Medical Center is an health care organization with primary practice located at 1000 Granby Park Drive South , Granby CO 80446-1169. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Critical Access Hospital, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Kremmling Memorial Hospital District can be contacted via phone (970) 724-3442, or through Cleckler, Jason Marshall via phone (970) 208-2907.

Contact Information

Primary practice address
1000 Granby Park Drive South Granby CO 80446-1169
Phone: (970) 724-3442
Fax: (970) 724-9606
Website:
Map and Directions
Authorized official contact:
Name: Cleckler, Jason Marshall
Phone: (970) 208-2907

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Critical Access Hospital 261QC0050X 010804 Colorado
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 00.0000156 Colorado
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 0000156 Colorado
Ambulatory Health Care Facilities / Rural Health 261QR1300X Colorado

Profile Details

NPI number 1124456629
LBN Legal business name Kremmling Memorial Hospital District
DBA Doing business as Dba Middle Park Medical Center
Authorized official Cleckler, Jason Marshall
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 18th, 2013
Last updated Mar 18th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124456629 NPPES
Colorado MEDICAID 9000226213

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