| Premier Rural Family Medical & Dental Care, Llc | |
|
1101 Teller County Road 1 Cripple Creek CO 80813 | |
| (419) 508-7686 | |
| Not Available |
| Full Name | Premier Rural Family Medical & Dental Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1101 Teller County Road 1, Cripple Creek, Colorado |
| Authorized Official Name and Position | William J Robers (ATTORNEY) |
| Authorized Official Contact | 7196345700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Rural Family Medical & Dental Care, Llc 24 S Weber St Ste 400 Colorado Springs CO 80903-1928 Ph: (719) 634-5700 | Premier Rural Family Medical & Dental Care, Llc 1101 Teller County Road 1 Cripple Creek CO 80813 Ph: (419) 508-7686 |
| NPI Number | 1417444043 |
|---|---|
| Provider Enumeration Date | 04/19/2018 |
| Last Update Date | 04/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417444043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Gold Rush Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 Teller County Road 1, Cripple Creek, CO 80813 Phone: 719-689-3565 | |
Forest Edge Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 County Rd 1, Cripple Creek, CO 80813 Phone: 719-689-3565 Fax: 719-689-0153 |