Organization Active NPI

Telluride Medical Center-Primary Care

  • Clinical Medical Laboratory
  • Telluride, CO
National Provider Identifier
1174232706
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
TELLURIDE MEDICAL CENTER-PRIMARY CARE
Practice address
500 W Pacific Avenue
Telluride, CO 81435-8053
Phone
(970) 231-1294
NPI assigned
Nov 22, 2022
Last updated
Nov 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marcia T Jennings
Title
Billing
Phone
(828) 260-0476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

500 W Pacific Avenue
Telluride, CO 81435-8053

Mailing address

PO Box 1229
Telluride, CO 81435-1229
Phone (970) 728-3848

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D0698962Telluride Regional Medical Center500 W Pacific Ave, Telluride, CO 81435ComplianceJul 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Telluride Medical Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1174232706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1229",
            "city": "TELLURIDE",
            "state": "CO",
            "postal_code": "814351229",
            "telephone_number": "970-728-3848",
            "fax_number": "970-728-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W PACIFIC AVENUE",
            "city": "TELLURIDE",
            "state": "CO",
            "postal_code": "814358053",
            "telephone_number": "970-231-1294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELLURIDE MEDICAL CENTER-PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "828-260-0476"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Telluride, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.