Active NPI
Telluride Medical Center-Primary Care
- Rural Health Clinic/Center
- Telluride, CO
National Provider Identifier
1790903094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- License
- 063840
- Legal business name
- TELLURIDE MEDICAL CENTER-PRIMARY CARE
- Practice address
- 500 W Pacific Ave
Telluride, CO 81435 - Phone
- (970) 728-3848
- NPI assigned
- Apr 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gordon P Reichard
- Title
- Administrator
- Phone
- (970) 728-3848
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | 063840 | CO | Primary |
Addresses
Primary practice location
500 W Pacific Ave
Telluride, CO 81435
Mailing address
PO Box 1229
Telluride, CO 81435-1229
Phone (970) 728-3848
Other names 1
- TMC-Primary Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202256000000",
"number": "1790903094",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W PACIFIC AVE",
"city": "TELLURIDE",
"state": "CO",
"postal_code": "81435",
"telephone_number": "970-728-3848"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TELLURIDE MEDICAL CENTER-PRIMARY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-23",
"last_updated": "2008-02-06",
"status": "A",
"authorized_official_last_name": "REICHARD",
"authorized_official_first_name": "GORDON",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "970-728-3848"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "CO",
"license": "063840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "TMC-Primary Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Telluride, CO
- Telluride Medical Center
- Telluride Medical Center-Primary Care
- Telluride Medical Center-Primary Care
- Telluride Medical Center-Primary Care
- Telluride Medical Center-Primary Care
- Telluride Physical Therapy
- Telluride Whole Health, LLC
- Terri Squires, LPC, FNP-C, PNP-C, Aprn-RX
- Sarah Anne Tolbert
- Treeline Therapy, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.