DBA MIDDLE PARK MEDICAL CENTER – NPI #1619962321
General Acute Care Hospital

DBA MIDDLE PARK MEDICAL CENTER is a general acute care hospital located in KREMMLING, CO. NPPES has assigned the NPI number 1619962321 to DBA MIDDLE PARK MEDICAL CENTER on September 19, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DBA MIDDLE PARK MEDICAL CENTER” is a dba name, the actual legal business name for this organization is KREMMLING MEMORIAL HOSPITAL DISTRICT. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 282NC0060X from the Health Care Provider Taxonomy code set, which is classified as General Acute Care Hospital, specializing in Critical Access

The NPI profile was previously updated about 6 years ago on Sep 07, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DBA MIDDLE PARK MEDICAL CENTER below.

NPI Profile for
KREMMLING MEMORIAL HOSPITAL DISTRICT

NPI Number
1619962321
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KREMMLING MEMORIAL HOSPITAL DISTRICT
Doing Business As (dba): DBA MIDDLE PARK MEDICAL CENTER
Primary location
214 S.4TH STREET
KREMMLING, CO 80459
Phone: (970) 724-3171 Fax: (970) 724-9606
Mailing address
PO BOX 399
KREMMLING, CO 80459-0399
Phone: (970) 724-3171 Fax: (970) 724-9606
Organization Subpart
No
Authorized Official
MIKEALENA HORNER
DIRECTOR OF FINANCE
Phone: (970) 724-3171
Updated
Certification Date
Sep 07, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for DBA MIDDLE PARK MEDICAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCO05090006
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
282NC0060X
- General Acute Care Hospital / Critical Access (Primary)
CO 00.0000156
275N00000X
- Medicare Defined Swing Bed Unit
CO 0127

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.