P Praxis·MD
● Active Type 2 · Organization

Premise Health Of Colorado Medical Pc

Clinic/Center·Burley, ID· NPI 1235618331 · Enumerated 2018 · 7 years on NPI
Premise Health Of Colorado Medical Pc is 1 of 104 clinic/center organizations in Idaho.
NPI age
7 years
Enumerated 2018-08-09
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Schwartz
President
Last NPPES update
2026-02-03
Source: monthly bulk 2026-05

How this organization compares

Across 104 active clinic/center providers in Idaho.

NPI age
7 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2018 → 2026

2018-08Enumerated in NPPES
2018 2026

Where they practice

Primary practice location
126 E 21st St
Burley, ID 833182551
📞 2086782192fax 2086786077
Mailing address
5500 Maryland Way Ste 400
Brentwood, TN 370277048

Authorized official

Edward William Schwartz
President
📞 8444077557

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QP2300X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Dot Burley Family Health Center
    Type code 3 recorded 2023-09-20

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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