TELLURIDE MEDICAL CENTER-PRIMARY CARE (NPI# 1568406163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568406163 |
| Entity Type | Organization |
| Organization Name | TELLURIDE MEDICAL CENTER-PRIMARY CARE |
| Other Organization Name | TMC-PRIMARY CARE |
| Practice Address |
500 W Pacific Ave Telluride CO 81435 |
| Mailing Address |
Po Box 1229 Telluride CO 81435-1229 |
| Practice Telephone | 9707283848 |
| Practice Fax Number | 9707283404 |
| Mailing Telephone | 9707283848 |
| Mailing Fax Number | 9707283404 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2019-11-12 |
| Authorized Official Name | PAM MCCREEDY (BILLING MANAGER) |
| Authorized Official Telephone | 9703692311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
0393 | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 74925083 | 05 |
| Other Name | Type Code |
|---|---|
| TMC Primary Care | Doing Business As Name - Organization |
| TMC-Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790903094 | Telluride Medical Center-primary Care | Clinic/Center | 500 W Pacific Ave, Telluride, CO 81435 | 2007-04-23 |
| Street Address |
500 W PACIFIC AVE |
| City | TELLURIDE |
| State | CO |
| Zip Code | 81435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871567883 | Diana E Koelliker | Emergency Medicine | 500 W Pacific Ave, Telluride, CO 81435-1229 | 2006-02-15 |
| 1730341116 | Medical Center of Telluride | Clinic/Center | 500 W Pacific Ave, Telluride, CO 81435-1229 | 2008-06-27 |
| 1851551097 | Christine R Mahoney | Family Medicine | 500 W Pacific Ave, Telluride, CO 81435-1229 | 2008-06-11 |
| 1497939714 | Institute for Altitude Medicine | Clinic/Center | 500 W Pacific Ave, Telluride, CO 81435-1229 | 2007-12-21 |
| 1225229966 | Telluride Medical Center | Durable Medical Equipment & Medical Supplies | 500 W Pacific Ave, Telluride, CO 81435-1229 | 2007-08-07 |
| 1790903094 | Telluride Medical Center-primary Care | Clinic/Center | 500 W Pacific Ave, Telluride, CO 81435 | 2007-04-23 |
| 1114030004 | Kent Devon Gaylord | Family Medicine | 500 W Pacific Ave, Telluride, CO 81435 | 2006-08-16 |
| 1508807694 | Telluride Medical Center | Clinic/Center | 500 W Pacific Ave, Telluride, CO 81435 | 2006-06-09 |
| 1417921453 | Paul D Koelliker | Emergency Medicine | 500 W Pacific Ave, Telluride, CO 81435-1229 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760319 | Deeka Mcdaniel | Pharmacist | 333 Colorado Ave #3, Telluride, CO 81435 | 2020-11-06 |
| 1780284083 | Midwestern Colorado Mental Health Center | Clinic/Center | 238 E. Colorado Ave, Suite 9, Telluride, CO 81435 | 2020-10-27 |
| 1952901258 | Midwestern Colorado Mental Health Center | Clinic/Center | 238 E. Colorado Ave., Suite 9, Telluride, CO 81435 | 2020-10-27 |
| 1265993471 | Courtney Stern | Midwife | 250 S Fir, Unit 3, Telluride, CO 81435 | 2019-03-29 |
| 1841757028 | Elevated Dental | Dentist | 101 E Colorado Ave, Suite 202, Telluride, CO 81435 | 2019-02-25 |
| 1790255321 | Lisa Marie Scott | Dental Hygienist | 238 E Colorado Ave, Suite 8, Telluride, CO 81435 | 2018-11-27 |
| 1164916250 | Erin Armstrong Therapy | Social Worker | 747 W Pacific Ave, Telluride, CO 81435 | 2018-06-21 |
| 1588166532 | Matt Destefano | Physical Therapist | 317 E Colorado Ave, Balanced Therapy, LLC, Telluride, CO 81435 | 2018-03-06 |
| 1033648993 | Christine Rosita Richards | Physical Therapist | 300 West Colorado Ave, Suite 2b, Telluride, CO 81435 | 2017-06-05 |
| 1972981603 | Katrina Rinne | Physical Therapist | 300 W. Colorado Avenue, Suite 2b, Telluride, CO 81435 | 2015-05-14 |
| Find all providers in zip 81435 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1548874761 | Scl Health Medical Group - Denver, LLC | Clinic/Center | 23770 E Smoky Hill Rd Ste 240, Aurora, CO 80016-3089 | 2020-09-04 |
| 1134731581 | Cync Health, Inc | Clinic/Center | 9284 Desert Willow Rd, Highlands Ranch, CO 80129-5715 | 2020-08-18 |
| 1992315279 | Gunnison Valley Family Physicians Crested Butte | Clinic/Center | 214 6th Street, Suite 1, Crested Butte, CO 81224 | 2020-08-03 |
| 1386261493 | Keystone Primary Care | Clinic/Center | 11111 E Mississippi Ave Ste 112, Aurora, CO 80012-3106 | 2020-07-06 |
| 1518582865 | Pediatrics West, P.C. | Clinic/Center | 13402 W Coal Mine Ave Ste 200, Littleton, CO 80127-5407 | 2020-06-12 |
| 1902420862 | Cloud Medical LLC | Clinic/Center | 3601 Arapahoe Ave # D-176, Boulder, CO 80303-1310 | 2020-06-05 |
| 1063034221 | Premier Primary Care Clinic LLC | Clinic/Center | 3000 Lawrence St, Denver, CO 80205-3422 | 2020-05-11 |
| 1992330500 | Quality Medical Clinic LLC | Clinic/Center | 3604 Galley Rd Ste 201, Colorado Springs, CO 80909-4301 | 2020-03-04 |
| 1992344659 | Metropolitan General Practice PC | Clinic/Center | 7400 E Crestline Cir Ste 105, Greenwood Village, CO 80111-3656 | 2019-12-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.