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PREMISE HEALTH OF COLORADO MEDICAL PC
NPI 1215092010
Family Medicine in Golden, CO

Active since December 22, 2006CLIA 06D1035741 · Waiver
1109 FORD ST, GOLDEN, CO 80401(303) 277-2138(303) 277-6915 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2026, Aug 23, 2022, Sep 8, 2020 and 1 more (4 updates tracked since 2020).

About Premise Health Of Colorado Medical Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMISE HEALTH OF COLORADO MEDICAL PC (NPI 1215092010), doing business as Pete Coors Medical Center, is a healthcare organization registered as a family medicine in Golden, Colorado and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through January 9, 2027 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1215092010
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePREMISE HEALTH OF COLORADO MEDICAL PC
Location Address1109 FORD STGolden, CO 80401-1176
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Phone(303) 277-2138
Fax(303) 277-6915
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateDecember 22, 2006
Last NPPES UpdateFebruary 3, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1215092010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1109 FORD ST, Golden, CO 80401
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Other Names 1

Doing Business AsPete Coors Medical Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D1035741

Premise Health Of Colorado Medical PC Dba Pete Coors Medical Clinic · Golden, CO
Active · expires Jan 9, 2027
CLIA Number06D1035741
Laboratory TypePhysician Office
Certificate Effective DateJanuary 10, 2025
Certificate Expiration DateJanuary 9, 2027
Laboratory DirectorMark Wisner
Laboratory Phone(303) 277-2138
Laboratory LocationPremise Health Of Colorado Medical PC Dba Pete Coors Medical Clinic1109 Ford St, Golden, CO 80401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK ANDREW WISNER D.O.
Family Medicine
1109 FORD ST
GOLDEN, CO 80401
Jefferson County (303) 277-2138

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premise Health Of Colorado Medical PC's NPI number?

The NPI number for Premise Health Of Colorado Medical PC is 1215092010. It was assigned to this organization in the NPPES registry on December 22, 2006. The provider is doing business as Pete Coors Medical Center.

Where is Premise Health Of Colorado Medical PC located?

Premise Health Of Colorado Medical PC is located at 1109 Ford St, Golden, CO 80401. The listed phone number is (303) 277-2138.

What is Premise Health Of Colorado Medical PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Premise Health Of Colorado Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D1035741) is associated with this NPI, valid through January 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premise Health Of Colorado Medical PC was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.