Premiercare | |
227 Midland Ave Ste 15b Basalt CO 81621-8119 | |
(970) 927-8563 | |
(970) 927-5245 |
Full Name | Premiercare |
---|---|
Speciality | Family Medicine |
Location | 227 Midland Ave Ste 15b, Basalt, Colorado |
Authorized Official Name and Position | Timothy Richard Kruse (OWNER) |
Authorized Official Contact | 9709278563 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Premiercare 227 Midland Ave Ste 15b Basalt CO 81621-8119 Ph: (970) 927-8563 | Premiercare 227 Midland Ave Ste 15b Basalt CO 81621-8119 Ph: (970) 927-8563 |
NPI Number | 1902002116 |
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Provider Enumeration Date | 06/25/2007 |
Last Update Date | 08/04/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902002116 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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