# PVHS/TIMBERLINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Timberline Medical, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760443709
- **Authorized official:** SHARI L SELL PREMER (OFFICE MANAGER)
- **Authorized official phone:** (970) 586-2343

## Contact information

- **Practice address:** 131 STANLEY AVE, STE 202, ESTES PARK, CO 80517-6363
- **Practice address phone:** (970) 586-2343
- **Practice address fax:** (970) 586-9060
- **Mailing address:** 131 STANLEY AVE, STE 202, ESTES PARK, CO 80517-6363
- **Mailing address phone:** (970) 586-2343
- **Mailing address fax:** (970) 586-9060

## Taxonomy

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

## Other

- **Enumeration date:** 03/29/2006
- **Last updated:** 11/05/2007
