National Provider Identifier Database

KREMMLING MEMORIAL HOSPITAL DISTRICT
Rural Health


Contact Information

KREMMLING MEMORIAL HOSPITAL DISTRICT
1000 GRANBY PARK DRIVE SOUTH
GRANBY, CO80446-1169
Phone: 970-724-3442
Fax: 970-724-9606
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Critical Access Hospital 261QC0050X
Multi-Specialty 261QM1300X

* Indicates primary specialty

NPI Profile & details for KREMMLING MEMORIAL HOSPITAL DISTRICT

NPI Number 1124456629
Legal business name
LBN
KREMMLING MEMORIAL HOSPITAL DISTRICT
Authorized official JASON CLECKLER - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 10/18/2013
Last updated 03/18/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • CO License #: 00.0000156
  • CO License #: 0000156
  • CO License #: 010804
  • CO Medicaid: 9000226213

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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