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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
1261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1316510753
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREMISE HEALTH OF COLORADO MEDICAL PC
Provider Business Mailing Address
First Line : 5500 MARYLAND WAY
Second Line :
City : BRENTWOOD
State : TN
Zip : 37027-7048
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4430 S ADAMS COUNTY PKWY STE W8303
Second Line :
City : BRIGHTON
State : CO
Zip : 80601-8222
Country : US
Telephone Number : 720-523-7800
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : EDWARD WILLIAM SCHWARTZ
Credential :
Telephone Number : 844-407-7557
Provider Enumeration Date : 07/22/2021
Last Update Date : 03/03/2026

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