Organization · Type 2 NPI
Premise Health of Colorado Medical PC
Primary Care Clinic/Center · Burley, ID
NPI number
1235618331
Active
Practice location
126 E 21st St
Burley, ID 83318-2551
Fax (208) 678-6077
Mailing address
5500 Maryland Way Ste 400
Brentwood, TN 37027-7048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Other primary care clinic/center providers in Burley
About NPI 1235618331
Premise Health of Colorado Medical PC's National Provider Identifier is 1235618331, issued on Aug 9, 2018. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Burley, ID. The record was last updated on Feb 3, 2026.