Premiercare

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PREMIERCARE

Practice address

227 Midland Ave Ste 15B
Basalt, CO 81621-8119

Phone

(970) 927-8563

Fax

(970) 927-5245

NPI assigned

Jun 25, 2007

Organization subpart

No

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

Authorized official

Name

Timothy Richard Kruse, MD

Title

Owner

Phone

(970) 927-8563

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1902002116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 MIDLAND AVE STE 15B",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816218119",
            "telephone_number": "970-927-8563",
            "fax_number": "970-927-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 MIDLAND AVE STE 15B",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816218119",
            "telephone_number": "970-927-8563",
            "fax_number": "970-927-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "KRUSE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-927-8563",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mark Lee Purnell, MD
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• Family Medicine Physician in Basalt, CO
• Providers in Basalt, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.

Verify at the official NPI Registry.