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General NPI Number Information
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NPI Number | 1619962321
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Entity Type | Organization
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Legal Business Name | KREMMLING MEMORIAL HOSPITAL DISTRICT
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Dates
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Enumeration Date | 09/19/2005
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Last Update Date | 09/07/2020
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Provider Practice Location Address
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Address Line | 214 S.4TH STREET
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City | KREMMLING
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State | CO
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Zip | 80459
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Country | US
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Telephone | 970-724-3171
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Fax | 970-724-9606
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Provider Business Mailing Address
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Address Line | PO BOX 399
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City | KREMMLING
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State | CO
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Zip | 80459-0399
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Country | US
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Telephone | 970-724-3171
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Fax | 970-724-9606
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | MIKEALENA HORNER
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Credential |
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Telephone | 970-724-3171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 00.0000156
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | 0127
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 0127
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License Number State | CO
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