MIDDLE PARK MEDICAL CENTER
NPI 1821647413
Clinic/Center - Physical Therapy in Fraser, CO

NPI Status: Active since September 06, 2019

Contact Information

45 COUNTY ROAD 804
FRASER, CO
ZIP 80442
Phone: (970) 724-3171
Fax: (970) 724-9606

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  • Organization
  • Clinic/Center
  • Physical Therapy
  • CLIA Number: 06D2325566
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 06-15-2027

About MIDDLE PARK MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Middle Park Medical Center, a provider established in Fraser, Colorado operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1821647413 assigned on September 2019. The practitioner's primary taxonomy code is 261QP2000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Middle Park Medical Center. The authorized official of this NPI record is Mikealena Horner (Director Of Finance)

NPI
1821647413
Provider Legal Name
KREMMLING MEMORIAL HOSPITAL DISTRICT
Other Organization Name
MIDDLE PARK MEDICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
45 COUNTY ROAD 804 FRASER, CO 80442
Location Phone
(970) 724-3171
Location Fax
(970) 724-9606
Mailing Address
PO BOX 399 KREMMLING, CO 80459
Mailing Phone
(970) 724-3171
Mailing Fax
(970) 724-9606
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-06-2019
Last Update Date
09-26-2022
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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

Clinic/Center Physical Therapy

Taxonomy Code
261QP2000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

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

MIKEALENA HORNER

Authorized Official Title
DIRECTOR OF FINANCE
Authorized Official Phone
(970) 724-3171

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
9000141155MEDICAID (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
06D2325566
Facility Type
Hospital
Certificate Effective Date
June 16, 2025
Certificate Expiration Date
June 15, 2027
Laboratory Director
THOMAS COBURN
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Middle Park Medical Center 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.

Reviews for MIDDLE PARK MEDICAL CENTER

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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 1821647413, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
8
Unchanged
Pos 3
2
Doubled → 4
Pos 4
1
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
1
Doubled → 2
Check
3
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 2 → 4 6 → 12 → 3 7 → 14 → 5 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 4 + 1 + 1 + 2 + 4 + 1 + 4 + 4 + 2 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1821647413.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Family Medicine
45 COUNTY ROAD 804, SUITE 210
FRASER, CO 80442
Nurse Practitioner (Family)
45 COUNTY ROAD 804
FRASER, CO 80442

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821647413, enumerated as an "organization" on September 06, 2019.

The provider is located at 45 COUNTY ROAD 804 FRASER, CO 80442 and the phone number is (970) 724-3171.

Clinic/Center with taxonomy code 261QP2000X and a focus in Physical Therapy.

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