| Premiere Healthcare Associates Llc | |
|
14828 W 6th Ave Suite 16-b Golden CO 80401-5000 | |
| (303) 918-6386 | |
| (303) 232-6201 |
| Full Name | Premiere Healthcare Associates Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 14828 W 6th Ave, Golden, Colorado |
| Authorized Official Name and Position | Kathleen Jo Gutierrez (PRESIDENT/CEO) |
| Authorized Official Contact | 3039186386 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premiere Healthcare Associates Llc 15400 W 64th Ave Unit 9 Box 359 Arvada CO 80007-6852 Ph: (303) 918-6386 | Premiere Healthcare Associates Llc 14828 W 6th Ave Suite 16-b Golden CO 80401-5000 Ph: (303) 918-6386 |
| NPI Number | 1700337029 |
|---|---|
| Provider Enumeration Date | 10/21/2016 |
| Last Update Date | 12/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700337029 | NPI | - | NPPES |
| 62534084 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1866 (Colorado) | Primary |
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