TELLURIDE MEDICAL CENTER-PRIMARY CARE (NPI# 1790903094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790903094 |
| 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 |
| Mailing Telephone | 9707283848 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2008-02-06 |
| Authorized Official Name | GORDON P REICHARD (ADMINISTRATOR) |
| Authorized Official Telephone | 9707283848 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
063840 | CO | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| TMC-Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568406163 | Telluride Medical Center-primary Care | Clinic/Center | 500 W Pacific Ave, Telluride, CO 81435 | 2006-06-15 |
| 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 |
| 1114030004 | Kent Devon Gaylord | Family Medicine | 500 W Pacific Ave, Telluride, CO 81435 | 2006-08-16 |
| 1568406163 | Telluride Medical Center-primary Care | Clinic/Center | 500 W Pacific Ave, Telluride, CO 81435 | 2006-06-15 |
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023663879 | Salida Hospital District | Clinic/Center | 550 W Us Highway 50, Salida, CO 81201-2238 | 2019-08-08 |
| 1356995237 | Salida Hospital District | Clinic/Center | 405 Denver Avenue, Saguache, CO 81149 | 2019-07-29 |
| 1497279236 | Southwest Health System, Inc. | Clinic/Center | 601 Central Ave, Dolores, CO 81323 | 2017-08-02 |
| 1144777566 | Valley Citizens' Foundation for Health Care, Inc. | Clinic/Center | 1033 2nd Avenue, Monte Vista, CO 81144-1737 | 2016-09-01 |
| 1184170748 | Wallowa County Health Care District | Clinic/Center | 16351 E. 104th Place, Commerce City, CO 80022 | 2016-09-01 |
| 1457749608 | Keefe Memorial Health Service District | Clinic/Center | 102 E 2nd Avenue, Kit Carson, CO 80825 | 2014-12-22 |
| 1396143574 | Keefe Memorial Health Service District | Clinic/Center | 615 West 5th North, Cheyenne Wells, CO 80810 | 2014-12-19 |
| 1255738001 | Family Care Clinic | Clinic/Center | 102 Hays Ave, Sterling, CO 80751-2866 | 2014-11-21 |
| 1366709263 | Dolores Medical Center | Clinic/Center | 507 Central Avenue, Dolores, CO 81323 | 2012-04-16 |
| 1528381928 | Valley Citizens' Foundation for Healthcare, Inc | Clinic/Center | 802 Rio Grande Avenue, Creede, CO 81130-0755 | 2010-03-12 |
| 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.