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NPI Code Detail

MEDICARE: PREMISE HEALTH OF COLORADO MEDICAL PC

MEDICARE: PREMISE HEALTH OF COLORADO MEDICAL PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1205355732
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREMISE HEALTH OF COLORADO MEDICAL PC
Provider Business Mailing Address
First Line : 5500 MARYLAND WAY STE 400
Second Line :
City : BRENTWOOD
State : TN
Zip : 37027-7048
Country : US
Telephone Number : 844-407-7557
Fax Number :
Provider Business Practice Location Address
First Line : 9970 FEDERAL DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80921-3616
Country : US
Telephone Number : 719-277-9600
Fax Number : 719-277-9751
Authorized Official
Title or Position : PRESIDENT
Name : EDWARD WILLIAM SCHWARTZ
Credential :
Telephone Number : 844-407-7557
Provider Enumeration Date : 09/15/2017
Last Update Date : 03/09/2026

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Directions to “PREMISE HEALTH OF COLORADO MEDICAL PC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.