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MIDDLE PARK HEALTH - GRAND LAKE CLINIC
NPI 1740839240
Clinic/Center - Rural Health in Grand Lake, CO

Active since September 06, 2019CLIA 06D2167299 · Waiver
301 MARINA DRIVE, GRAND LAKE, CO 80447(970) 557-6044(970) 724-9446 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 25, 2021, Nov 19, 2020, Oct 11, 2020 and 1 more (4 updates tracked since 2019).

About Middle Park Health - Grand Lake Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIDDLE PARK HEALTH - GRAND LAKE CLINIC (NPI 1740839240) is a healthcare organization registered as a rural health in Grand Lake, Colorado and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through October 14, 2027 and lists Kelly S Clasen, Sr. Director, Business Operations, as its authorized official.

NPPES Registry Identity

NPI1740839240
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameKREMMLING MEMORIAL HOSPITAL DISTRICT
Location Address301 MARINA DRIVEGrand Lake, CO 80447-0000
Mailing AddressPo Box 399Kremmling, CO 80459-0399 · (970) 724-3171 · Fax (970) 724-9446
Phone(970) 557-6044
Fax(970) 724-9446
Organization SubpartYes
Authorized OfficialKelly S ClasenSr. Director, Business Operations · (307) 699-2413
Enumeration DateSeptember 6, 2019
Last NPPES UpdateJanuary 25, 20214 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2021
✔ NPI 1740839240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
301 MARINA DRIVE, Grand Lake, CO 80447
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Other Names 1

Doing Business AsMiddle Park Health - Grand Lake Clinic

Other Identifiers 1

Medicaid9000141155CO

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2167299

Middle Park Health - Grand Lake · Grand Lake, CO
Active · expires Oct 14, 2027
CLIA Number06D2167299
Laboratory TypeRural Health Clinic
Certificate Effective DateOctober 15, 2025
Certificate Expiration DateOctober 14, 2027
Laboratory DirectorVan Nguyen
Laboratory Phone(970) 887-5848
Laboratory LocationMiddle Park Health - Grand Lake301 Marina Dr, Grand Lake, CO 80447
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kremmling Memorial Hospital District's NPI number?

The NPI number for Kremmling Memorial Hospital District is 1740839240. It was assigned to this organization in the NPPES registry on September 6, 2019. The provider is doing business as Middle Park Health - Grand Lake Clinic.

Where is Kremmling Memorial Hospital District located?

Kremmling Memorial Hospital District is located at 301 Marina Drive, Grand Lake, CO 80447. The listed phone number is (970) 557-6044.

What is Kremmling Memorial Hospital District's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Kremmling Memorial Hospital District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2167299) is associated with this NPI, valid through October 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kremmling Memorial Hospital District was last updated on January 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.