Healthcare Provider Details

I. General information

NPI: 1992502033
Provider Name (Legal Business Name): KREMMLING MEMORIAL HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2025
Last Update Date: 02/26/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 TELEMARK DRIVE
FRASER CO
80442-0000
US

IV. Provider business mailing address

PO BOX 399
KREMMLING CO
80459-0399
US

V. Phone/Fax

Practice location:
  • Phone: 970-887-5800
  • Fax: 970-887-5891
Mailing address:
  • Phone: 970-887-5800
  • Fax: 970-887-5891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JASON MARSHALL CLECKLER
Title or Position: CEO
Credential:
Phone: 970-208-2907