NCMC SPECIALTY CLINIC (NPI# 1063669208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063669208 |
| Entity Type | Organization |
| Organization Name | NCMC SPECIALTY CLINIC |
| Practice Address |
1907 Boise Ave Suite 3 Loveland CO 80538-5016 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 9703784676 |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-21 |
| Authorized Official Name | DENNIS E DAHLEN (SR VP FINANCE) |
| Authorized Official Telephone | 4804612409 |
| Is Organization Subpart | Y |
| Parent Organization Name | BANNER HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 16158717 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063924348 | Ncmc Specialty Clinic | Clinic/Center | 2000 Boise Ave, Loveland, CO 80538-5006 | 2017-10-26 |
| 1164975165 | Ncmc Specialty Clinic | Clinic/Center | 1813 Cheyenne Ave, Loveland, CO 80538-4244 | 2016-07-27 |
| 1336488063 | Ncmc Specialty Clinic | Clinic/Center | 1801 16th St, Greeley, CO 80631-5154 | 2013-01-31 |
| 1134472574 | Ncmc Specialty Clinic | Clinic/Center | 608 E Harmony Rd Ste 101, Fort Collins, CO 80525-3210 | 2012-10-23 |
| 1225315898 | Ncmc Specialty Clinic | Clinic/Center | 2601 N Spruce St, Ogallala, NE 69153-2465 | 2011-11-10 |
| 1982987178 | Ncmc Specialty Clinic | Clinic/Center | 500 Main St, Fort Morgan, CO 80701-2130 | 2011-09-23 |
| 1043506371 | Ncmc Specialty Clinic | Clinic/Center | 1405 S 8th Ave, Ste 104, Sterling, CO 80751-4563 | 2011-06-24 |
| 1023319464 | Ncmc Specialty Clinic | Clinic/Center | 1800 15th St, Suite 320, Greeley, CO 80631-4500 | 2010-11-16 |
| 1619116159 | Ncmc Specialty Clinic | Clinic/Center | 1517 16th Avenue Ct, Greeley, CO 80631-4574 | 2009-02-06 |
| 1417193574 | Ncmc Specialty Clinic | Clinic/Center | 1800 15th St, Suite 210, Greeley, CO 80631-4500 | 2008-12-19 |
| Street Address |
1907 BOISE AVE SUITE 3 |
| City | LOVELAND |
| State | CO |
| Zip Code | 80538-5016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457350043 | David W Nordstrom | Dentist | 1907 Boise Ave, Suite 5, Loveland, CO 80538-5016 | 2005-07-18 |
| 1174904817 | James Dillon | Chiropractor | 1907 Boise Ave, Loveland, CO 80538-5016 | 2015-06-17 |
| 1891119988 | Dawson Chiropractic Corporation | Chiropractor | 1907 Boise Ave, Suite #1, Loveland, CO 80538 | 2014-02-10 |
| 1851661946 | Banner Health Physicians Colorado LLC | Clinic/Center | 1907 Boise Ave, Ste 3, Loveland, CO 80538-5016 | 2012-01-05 |
| 1528378452 | Anne Elizabeth Ross | Dentist | 1907 Boise Ave, Suite 5, Loveland, CO 80538-5016 | 2010-10-13 |
| 1861663346 | Jerod T Dawson | Chiropractor | 1907 Boise Ave, Suite 1, Loveland, CO 80538-5016 | 2008-03-12 |
| 1326219890 | Aspen Brunk Dawson | Chiropractor | 1907 Boise Ave, Suite #1, Loveland, CO 80538-5016 | 2008-03-12 |
| 1417137563 | Thomas N.c. Bruns | Specialist | 1907 Boise Ave, Suite 2, Loveland, CO 80538-5016 | 2007-11-06 |
| 1811929326 | Loveland Urologic Associates | Urology | 1907 Boise Ave, Loveland, CO 80538 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332385 | Jocelyn Stott | Social Worker | 1611 N Estrella Avenue, Loveland, CO 80538 | 2020-10-02 |
| 1184234049 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 383 W. 37th St., Ste. 104, Loveland, CO 80538 | 2020-08-05 |
| 1578102752 | Shela Wagner | Student in an Organized Health Care Education/Training Program | 2603 North Monroe Ave, Loveland, CO 80538 | 2020-01-05 |
| 1184261901 | Sierra Compton | Behavior Technician | 2906 Ginnala Drive, Loveland, CO 80538 | 2019-12-01 |
| 1497306138 | Warrior Diagnostics, Inc. | Clinical Medical Laboratory | 6215 Aviation Cir., Loveland, CO 80538 | 2019-09-24 |
| 1093372625 | Kimberly Ann Boogaerts | Behavior Technician | 1437 North Denver Ave Ste 237, Loveland, CO 80538 | 2019-05-20 |
| 1033676101 | Hero Vision of Loveland, LLC | Optometrist | 3515 Mountain Lion Drive, Loveland, CO 80538 | 2019-02-26 |
| 1225509201 | Mbbk Consulting Inc. | Day Training, Developmentally Disabled Services | 4115 Georgetown Drive, Loveland, CO 80538 | 2018-12-17 |
| 1457833808 | Judy A Elliott | Speech-Language Pathologist | 3232 Williamsburg St, Loveland, CO 80538 | 2018-09-02 |
| 1245756584 | Beth Joyce Hale | Counselor | 1440 W.29th, #100, Loveland, CA 80538 | 2017-08-18 |
| Find all providers in zip 80538 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710517735 | Mckee Medical Center | Clinic/Center | 1805 E 18th St Ste 7, Loveland, CO 80538-4237 | 2020-01-17 |
| 1174153191 | Mckee Medical Center | Clinic/Center | 1825 E 18th St Ste C, Loveland, CO 80538-4255 | 2020-01-17 |
| 1164062303 | Mckee Medical Center | Clinic/Center | 1632 Hoffman Dr, Loveland, CO 80538-4337 | 2020-01-15 |
| 1164972949 | Mckee Medical Center | Clinic/Center | 1511 E 11th St Ste 180, Loveland, CO 80537-5006 | 2016-10-05 |
| 1730598749 | Banner Health Physicians Colorado LLC | Clinic/Center | 2555 E 13th St Ste 230, Loveland, CO 80537-5133 | 2014-08-05 |
| 1497014179 | Big Thompson Medical Group Inc | Clinic/Center | 2555 E 13th St Ste 100, Loveland, CO 80537-5134 | 2012-05-15 |
| 1942576061 | Banner Health Physicians Colorado LLC | Clinic/Center | 1900 Boise Ave Ste 300, Loveland, CO 80538-5004 | 2012-03-23 |
| 1194753780 | Mmc Specialty Clinic | Clinic/Center | 1900 Boise Ave Ste 210, Loveland, CO 80538-5004 | 2006-06-30 |
| 1134769318 | Mckee Medical Center | Clinic/Center | 2555 E 13th St Ste 100, Loveland, CO 80537-5134 | 2020-01-15 |
| 1134763782 | Honey Bee Health Collective | Clinic/Center | 241 Lori Dr, Loveland, CO 80537-6269 | 2019-11-06 |
| Find all providers in LOVELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.