KREMMLING MEMORIAL HOSPITAL DISTRICT (NPI# 1538774377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538774377 |
| Entity Type | Organization |
| Organization Name | KREMMLING MEMORIAL HOSPITAL DISTRICT |
| Practice Address |
1000 Granby Park South Granby CO 80446-8900 |
| Mailing Address |
Po Box 399 Kremmling CO 80459-0399 |
| Practice Telephone | 9708875800 |
| Practice Fax Number | 9708875891 |
| Mailing Telephone | 9708875800 |
| Mailing Fax Number | 9708875891 |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |
| Authorized Official Name | JASON MARSHALL CLECKLER (CEO) |
| Authorized Official Telephone | 9702082907 |
| Is Organization Subpart | Y |
| Parent Organization Name | KREMMLING MEMORIAL HOSPITAL DISTRICT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 04003281 | 05 |
| Other Name | Type Code |
|---|---|
| Middle Park Health - Specialty Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477195667 | Kremmling Memorial Hospital District | Clinic/Center | 109 South 9th Street, Kremmling, CO 80459-0399 | 2019-10-09 |
| 1740839240 | Kremmling Memorial Hospital District | Clinic/Center | 301 Marina Drive, Grand Lake, CO 80447-0000 | 2019-09-06 |
| 1619962321 | Kremmling Memorial Hospital District | General Acute Care Hospital | 214 S.4th Street, Kremmling, CO 80459 | 2005-09-19 |
| 1174138903 | Kremmling Memorial Hospital District | Clinic/Center | 214 S 4th Street, Kremmling, CO 80459-0399 | 2020-09-09 |
| 1154936987 | Kremmling Memorial Hospital District | General Acute Care Hospital | 1000 Granby Park South, Granby, CO 80446-8900 | 2020-09-09 |
| 1164064358 | Kremmling Memorial Hospital District | Clinic/Center | 350 Mckinley Street, Walden, CO 80480-9708 | 2019-10-09 |
| 1821647413 | Kremmling Memorial Hospital District | Clinic/Center | 45 County Road 804, Fraser, CO 80442-0000 | 2019-09-06 |
| 1215586714 | Kremmling Memorial Hospital District | Clinic/Center | 47 Cooper Creek Way, Suite 220, Winter Park, CO 80482-0000 | 2019-09-06 |
| 1124456629 | Kremmling Memorial Hospital District | Clinic/Center | 1000 Granby Park Drive South, Granby, CO 80446-8900 | 2013-10-18 |
| Street Address |
1000 GRANBY PARK SOUTH |
| City | GRANBY |
| State | CO |
| Zip Code | 80446-8900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154936987 | Kremmling Memorial Hospital District | General Acute Care Hospital | 1000 Granby Park South, Granby, CO 80446-8900 | 2020-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674041 | Dianne Drake Foss | Psychologist | The Inn At Silver Creek, 62927 Us-40, Granby, 80446, CO 80446 | 2020-09-21 |
| 1164033056 | Catholic Health Initiatives Colorado | Obstetrics & Gynecology | 1000 Granby Park Dr., Granby, CO 80446 | 2020-08-13 |
| 1053978627 | Colorado West Regional Mental Health, Inc. | Clinic/Center | 244 E Agate Ave, Granby, CO 80446 | 2019-05-20 |
| 1982190997 | Jordyn Crane | Dietitian, Registered | 480 E. Agate, Granby, CO 80446 | 2018-07-03 |
| 1710473814 | Jeff Thomas Marlor | Dentist | 290 E Agate Avenue, Granby, CO 80446 | 2018-07-02 |
| 1780174169 | Nervepro | Specialist/Technologist, Other | 79 County Road 4103, Granby, CO 80446 | 2018-05-11 |
| 1740737204 | River View Counseling, Pllc | Counselor | 195 Third Street, Granby, CO 80446 | 2016-09-01 |
| 1225584519 | Aspen Wind Counseling, LLC | Counselor | 191 E. Agate, Granby, CO 80446 | 2016-08-28 |
| 1386017671 | Sandee Cysewski | Registered Nurse | 40 Fox Drive 103b #2434, Granby, CO 80446 | 2015-11-09 |
| 1508246414 | Caroline Mantel | Case Manager/Care Coordinator | 480 East Agate Avenue, Granby, CO 80446 | 2015-06-05 |
| Find all providers in zip 80446 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1396356325 | Yampa Valley Medical Center | Clinic/Center | 940 Central Park Dr Ste 207, Steamboat Springs, CO 80487-8853 | 2020-08-13 |
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1609400407 | Pure Healthcare of Colorado LLC | Clinic/Center | 320 E Fontanero St Ste 103, Colorado Springs, CO 80907-7535 | 2020-03-02 |
| 1073146833 | Boulder Medical Center, P.C. | Clinic/Center | 89 S Briggs St Ste 105, Erie, CO 80516-4063 | 2020-02-19 |
| 1710517735 | Mckee Medical Center | Clinic/Center | 1805 E 18th St Ste 7, Loveland, CO 80538-4237 | 2020-01-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.