PREMISE HEALTH OF COLORADO MEDICAL PC
NPI 1235618331
Clinic/Center - Primary Care in Burley, ID

Active since August 09, 2018CLIA 13D2085788 · Waiver
126 E 21ST ST, BURLEY, ID 83318(208) 678-2192(208) 678-6077 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2026, Aug 23, 2022, Aug 9, 2018 (3 updates tracked since 2018).

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 1235618331), doing business as Dot Burley Family Health Center, is a healthcare organization registered as a primary care in Burley, Idaho and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through October 21, 2026 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1235618331
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePREMISE HEALTH OF COLORADO MEDICAL PC
Location Address126 E 21ST STBurley, ID 83318-2551
Mailing Address5500 Maryland Way Ste 400Brentwood, TN 37027-7048
Fax(208) 678-6077
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateAugust 9, 2018
Last NPPES UpdateFebruary 3, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
NPI 1235618331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
126 E 21ST ST, Burley, ID 83318

Other Names 1

Doing Business AsDot Burley Family Health Center

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 13D2085788

Premise Health Of Idaho Medical PC · Burley, ID
Active · expires Oct 21, 2026
CLIA Number13D2085788
Laboratory TypePhysician Office
Certificate Effective DateOctober 22, 2024
Certificate Expiration DateOctober 21, 2026
Laboratory DirectorTravis Chandler
Laboratory Phone(208) 678-2191
Laboratory LocationPremise Health Of Idaho Medical PC126 E 21st St, Burley, ID 83318
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 1235618331. It was assigned to this organization in the NPPES registry on August 9, 2018. The provider is doing business as Dot Burley Family Health Center.

Where is Premise Health Of Colorado Medical PC located?

Premise Health Of Colorado Medical PC is located at 126 E 21st St, Burley, ID 83318. The listed phone number is (208) 678-2192.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

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

Yes. A Certificate of Waiver (number 13D2085788) is associated with this NPI, valid through October 21, 2026. 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.