Organization · Type 2 NPI

Kremmling Memorial Hospital District

Rural Health Clinic/Center · Grand Lake, CO

NPI number 1740839240 Active

Practice location

301 Marina Drive
Grand Lake, CO 80447-0000

Call (970) 557-6044 Map

Fax (970) 724-9446

Mailing address

PO Box 399
Kremmling, CO 80459-0399

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

NPI record

NPI: 1740839240
Entity type: Organization (Type 2)
Issued: Sep 6, 2019
Last updated: Jan 25, 2021
Status: Active
Subpart: Yes of Kremmling Memorial Hospital District

Other names

<unavail>
Middle Park Health - Grand Lake Clinic · doing business as

Authorized official

Kelly S Clasen
Sr. Director, Business Operations
(307) 699-2413

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1740839240

Kremmling Memorial Hospital District's National Provider Identifier is 1740839240, issued on Sep 6, 2019. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Grand Lake, CO. The record was last updated on Jan 25, 2021.