Premise Health Of Colorado Medical PC
Clinic/Center, Primary Care in Burley, ID. Organization (NPI-2).
NPI number1235618331
StatusActive
Last updated in NPPESFeb 3, 2026
Details
- NPI
- 1235618331
- Entity type
- Organization (NPI-2)
- Legal business name
- Premise Health Of Colorado Medical PC
- Organization subpart
- No
- Enumeration date
- Aug 9, 2018
- Certification date
- Feb 3, 2026
- Last updated
- Feb 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Other names
- Dot Burley Family Health Center (Doing Business As)
Practice location
126 E 21st StBurley, ID 83318-2551
Phone 208-678-2192 · Fax 208-678-6077
Mailing address
5500 Maryland Way Ste 400Brentwood, TN 37027-7048
Authorized official
Edward William Schwartz
President
8444077557
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