PREMISE HEALTH OF COLORADO MEDICAL P.C. NPI 1902673510

NPI Information

NPI: 1902673510
Provider Name: PREMISE HEALTH OF COLORADO MEDICAL, P.C.

Doing Business As: GOOGLE HEALTH & WELLNESS CENTER

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
2930 PEARL ST
BOULDER, CO
ZIP 80301
Phone: (888) 926-9385
Get Directions

PREMISE HEALTH OF COLORADO MEDICAL, P.C. is a multi-specialty clinic center in Boulder, CO. PREMISE HEALTH OF COLORADO MEDICAL, P.C. NPI is 1902673510. The provider is registered as an organization entity type.
The provider Is Doing Business As Google Health & Wellness Center.

The provider's business location address is:

2930 PEARL ST
BOULDER, CO
ZIP 80301
Phone: (888) 926-9385
Fax: (720) 294-0681

The provider's authorized official is William Wright .
The authorized official title is Secretary and has the following contact phone number (615) 577-5893.

The CLIA number assigned to this NPI record is 14D2301616 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/5/2023 and was last updated on 4/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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