OrganizationActive
Premise Health of Colorado Medical PC
NPI 1235618331 · Primary Care Clinic/Center · Burley, ID
Provider details
- NPI number
- 1235618331
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Edward Schwartz, President
Practice location
126 E 21st St
Burley, ID 83318-2551
Phone: (208) 678-2192
Fax: (208) 678-6077
Mailing address
5500 Maryland Way Ste 400
Brentwood, TN 37027-7048
Registry dates
- Enumerated
- 2018-08-09
- Last updated
- 2026-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.