Middle Park Health - Grand Lake Clinic

LBN: Kremmling Memorial Hospital District
Middle Park Health - Grand Lake Clinic is an health care organization with primary practice located at 301 Marina Drive , Grand Lake CO 80447-0000. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Kremmling Memorial Hospital District can be contacted via phone (970) 557-6044, or through Clasen, Kelly S via phone (307) 699-2413.

Contact Information

Primary practice address
301 Marina Drive Grand Lake CO 80447-0000
Phone: (970) 557-6044
Fax: (970) 724-9446
Website:
Map and Directions
Authorized official contact:
Name: Clasen, Kelly S
Phone: (307) 699-2413

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1740839240
LBN Legal business name Kremmling Memorial Hospital District
DBA Doing business as Middle Park Health - Grand Lake Clinic
Authorized official Clasen, Kelly S
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 6th, 2019
Last updated Jan 25th, 2021 - about 3 years ago

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 1740839240 NPPES
Colorado MEDICAID 9000141155

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