# PREMISE HEALTH OF COLORADO MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pete Coors Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215092010
- **Authorized official:** EDWARD WILLIAM SCHWARTZ (PRESIDENT)
- **Authorized official phone:** (844) 407-7557

## Contact information

- **Practice address:** 1109 FORD ST, GOLDEN, CO 80401-1176
- **Practice address phone:** (303) 277-2138
- **Practice address fax:** (303) 277-6915
- **Mailing address:** 5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/22/2006
- **Last updated:** 02/03/2026