| NPI | 1275100109 |
|---|---|
| Doing Business As | MIDDLE PARK MEDICAL CENTER, GRANBY |
| Entity Type | Organization |
| Authorized Contact | JASON MARSHALL CLECKLER CEO 970-208-2907 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2021-06-09 |