Healthcare Provider Details

I. General information

NPI: 1134085350
Provider Name (Legal Business Name): KREMMLING MEMORIAL HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2025
Last Update Date: 12/31/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 TELEMARK DR
FRASER CO
80442
US

IV. Provider business mailing address

PO BOX 399
KREMMLING CO
80459-0399
US

V. Phone/Fax

Practice location:
  • Phone: 970-724-4700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State

VIII. Authorized Official

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