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General NPI Number Information
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NPI Number | 1992502033
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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 | 02/26/2025
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 31 TELEMARK DRIVE
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City | FRASER
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State | CO
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Zip | 80442-0000
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Country | US
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Telephone | 970-887-5800
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Fax | 970-887-5891
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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 | 970-887-5800
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Fax | 970-887-5891
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Authorized Official
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Title or Position | CEO
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Name | JASON MARSHALL CLECKLER
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Credential |
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Telephone | 970-208-2907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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