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CAH061318-06 KREMMLING MEMORIAL HOSPITAL DISTRICT (Active)
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Main Details
Name
KREMMLING MEMORIAL HOSPITAL DISTRICT
Subdivision Name
North Park Medical Center - Walden - Rural Health Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH061318-06
Medicare Provider Number
061318
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/15/2020
Participating Start Date
1/1/2021
Participating Approval Date
11/2/2020
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Kremmling Memorial Hospital District
Amy Binkley, CNO
(970) 724-3199
Primary Contact
Middle Park Health
Pauline Portinga, Certified Pharmacy Tech
(970) 724-3199
Addresses
Street Address
350 McKinley Street
PO Box 145
Walden, CO 80480
Billing Address
Kremmling Memorial Hospital District
PO Box 399
Kremmling, CO 80459
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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