Telluride Medical Center-Primary Care

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

TELLURIDE MEDICAL CENTER-PRIMARY CARE

Practice address

300 South Mahoney
Suite C-1
Telluride, CO 81435

Phone

(970) 728-3848

Fax

(970) 728-3404

NPI assigned

Feb 15, 2022

Last updated

Mar 14, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

TELLURIDE MEDICAL CENTER - PRIMARY CAREAs reported in NPPES

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

Authorized official

Name

Marcia T Jennings

Title

Revenue Cycle Manager

Phone

(828) 260-0476

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Telluride Medical Center3 organizations share this tax ID, including this one

Part of

Telluride Medical Center

Other organizations with this tax ID 2

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

• Telluride Medical Center-Primary Care

  • Clinical Medical Laboratory
  • Telluride, CO
  • NPI 1174232706
  NPD tax ID
• Telluride Medical Center-Primary Care

  dba TMC Primary Care

  • Oxygen Equipment & Supplies (DME)
  • Telluride, CO
  • NPI 1508444332
  NPD tax ID

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1720733082",
    "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": "300 SOUTH MAHONEY",
            "address_2": "SUITE C-1",
            "city": "TELLURIDE",
            "state": "CO",
            "postal_code": "81435",
            "telephone_number": "970-728-3848",
            "fax_number": "970-728-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELLURIDE MEDICAL CENTER-PRIMARY CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TELLURIDE MEDICAL CENTER - PRIMARY CARE",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "828-260-0476"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CO05338",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Telluride Medical Center
• Telluride Medical Center
• Telluride Medical Center-Primary Care
• Telluride Medical Center-Primary Care (TMC Primary Care)
• Telluride Medical Center-Primary Care (TMC Primary Care)
• Telluride Medical Center-Primary Care (TMC-Primary Care)
• Telluride Physical Therapy
• Telluride Whole Health, LLC (Telluride Whole Health)
• Terri Squires, LPC, FNP-C, PNP-C, Aprn-RX (Integrative Psychiatry Services, LLC; Terri Squires, LPC, FNP-C, PNP-C)
• Sarah Anne Tolbert

• Primary Care Clinic/Center in Telluride, CO
• Providers in Telluride, CO by specialty
• Primary Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.