Organization
TELLURIDE MEDICAL CENTER-PRIMARY CARE
Active
Parent organization
TELLURIDE MEDICAL CENTER - PRIMARY CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
TELLURIDE MEDICAL CENTER - PRIMARY CARE
Authorized official
MARCIA T JENNINGS (REVENUE CYCLE MANAGER)
(828) 260-0476
Entity
Organization
Contact information
Practice address
300 SOUTH MAHONEY, SUITE C-1, TELLURIDE, CO 81435
(970) 728-3848
(970) 728-3404
Mailing address
PO BOX 1229, TELLURIDE, CO 81435-1229
(970) 728-3848
(970) 728-3404
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CO05338
—
CO
Enumeration date
02/15/2022
Last updated
03/14/2022
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