MIDDLE PARK MEDICAL CENTER - GRANBY
NPI 1154936987
General Acute Care Hospital - Critical Access in Granby, CO

NPI Status: Active since September 09, 2020

Contact Information

1000 GRANBY PARK SOUTH
GRANBY, CO
ZIP 80446
Phone: (970) 887-5800
Fax: (970) 887-5891

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  • Organization
  • General Acute Care Hospital
  • Critical Access
  • CLIA Number: 06D2035630
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 10-31-2025

About MIDDLE PARK MEDICAL CENTER - GRANBY

This page provides the complete NPI Profile along with additional information for Middle Park Medical Center - Granby, a provider established in Granby, Colorado operating as a General Acute Care Hospital, focusing in critical access . The healthcare provider is registered in the NPI registry with number 1154936987 assigned on September 2020. The practitioner's primary taxonomy code is 282NC0060X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Middle Park Medical Center - Granby. The authorized official of this NPI record is Kelly Clasen (Sr. Director, Business Operations)

NPI
1154936987
Provider Legal Name
KREMMLING MEMORIAL HOSPITAL DISTRICT
Other Organization Name
MIDDLE PARK MEDICAL CENTER - GRANBY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1000 GRANBY PARK SOUTH GRANBY, CO 80446
Location Phone
(970) 887-5800
Location Fax
(970) 887-5891
Mailing Address
PO BOX 399 KREMMLING, CO 80459
Mailing Phone
(970) 887-5800
Mailing Fax
(970) 887-5891
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-09-2020
Last Update Date
01-27-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Acute Care Hospital Critical Access

Taxonomy Code
282NC0060X
Type
Hospitals

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KELLY CLASEN

Authorized Official Title
SR. DIRECTOR, BUSINESS OPERATIONS
Authorized Official Phone
(307) 699-2413

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
05090006MEDICAID (05)CO 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
06D2035630
Facility Type
Hospital
Certificate Effective Date
July 10, 2022
Certificate Expiration Date
October 31, 2025
Laboratory Director
DR. THOMAS COBURN
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Middle Park Medical Center - Granby after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1154936987, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 9 → 18 → 9 6 → 12 → 3 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 1 + 8 + 3 + 1 + 2 + 9 + 1 + 6 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1154936987.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Multi-Specialty)
1000 GRANBY PARK SOUTH
GRANBY, CO 80446

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154936987, enumerated as an "organization" on September 09, 2020.

The provider is located at 1000 GRANBY PARK SOUTH GRANBY, CO 80446 and the phone number is (970) 887-5800.

General Acute Care Hospital with taxonomy code 282NC0060X and a focus in Critical Access.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.