BANNER HEALTH (NPI# 1124532924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124532924 |
| Entity Type | Organization |
| Organization Name | BANNER HEALTH |
| Other Organization Name | BANNER FORT COLLINS MEDICAL CENTER |
| Practice Address |
4700 Lady Moon Dr Fort Collins CO 80528-4426 |
| Mailing Address |
2901 N Central Ave Phoenix AZ 85012-2700 |
| Practice Telephone | 9708214000 |
| Practice Fax Number | 9708214501 |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2017-12-01 |
| Authorized Official Name | MATTHEW COX (SENIOR VP FINANCE) |
| Authorized Official Telephone | 6027474000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BANNER HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | Transportation Services |
| Other Name | Type Code |
|---|---|
| Banner Fort Collins Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972139004 | Banner Health | General Acute Care Hospital | 1405 S Alma School Rd, Chandler, AZ 85286 | 2020-03-20 |
| 1659787554 | Banner Health | General Acute Care Hospital | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2014-07-11 |
| 1942613435 | Banner Health | Clinic/Center | 1676 E Mcmurray Blvd Ste 1, Casa Grande, AZ 85122-4798 | 2014-06-03 |
| 1205267549 | Banner Health | Clinic/Center | 1345 A Paul Bunyan Rd, Susanville, CA 96130-3159 | 2013-12-12 |
| 1538402995 | Banner Health | Military Hospital | 2017 E Ruby Ln, Phoenix, AZ 85024-8617 | 2013-04-03 |
| 1407409964 | Banner Health | Hospice Care, Community Based | 2726 W 11th Street Rd, Greeley, CO 80634-5408 | 2019-07-23 |
| 1063923340 | Banner Health | General Acute Care Hospital | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2017-10-13 |
| 1912447855 | Banner Health | General Acute Care Hospital | 4259 S Squires Ln, Gilbert, AZ 85297-1206 | 2017-02-25 |
| 1851842892 | Banner Health | General Acute Care Hospital | 1801 16th St, Greeley, CO 80631-5154 | 2016-10-14 |
| 1154793131 | Banner Health | Clinic/Center | 2000 Boise Ave, Loveland, CO 80538-5006 | 2015-10-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | BANNER HEALTH | 2901 N Central Ave Suite 160, Phoenix, AZ 85012 |
| System for Award Management (SAM) Entities | BANNER HEALTH | 9201 W Thomas Rd, Phoenix, AZ 85037-3332 |
| Iowa Business Entities | BANNER HEALTH | 2901 N Central Ave Suite 160, Phoenix, AZ 85012 |
| Washington State Corporations | BANNER HEALTH | 2901 N Central Ave #160, Phoenix, AZ 85012 |
| New York State Corporations | BANNER HEALTH | 111 Eighth Avenue, 13th Floor, New York, Ny 10011 |
| Colorado Business Entities | Banner Health CCPHP, LLC | 530 Seventh Avenue Suite 2401, New York, NY 10018 |
| New York State Corporations | BANNER HEALTH CCPHP, LLC | 99 Washington Avenue Suite 1008, Albany, Ny 12260 |
| Colorado Business Entities | Banner Health Network | 2901 N Central Ave Ste 160, Phoenix, AZ 85012 |
| Colorado Business Entities | Banner Health Physicians-Colorado, LLC | 1801 16th Street, Greeley, CO 80631 |
| Virginia Business Entities | Banner HealthCare Solutions Inc. | 3671 Utica St., Denver, Colorado 80212 |
| Street Address |
4700 LADY MOON DR |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80528-4426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659787554 | Banner Health | General Acute Care Hospital | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2014-07-11 |
| 1770192288 | Tracy J Hall | Registered Nurse | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2020-07-30 |
| 1568086890 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2020-06-02 |
| 1639705999 | Michelle Powers | Occupational Therapist | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2020-03-19 |
| 1659904357 | Rocky Mountain State Anesthesia Providers | Anesthesiology | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2020-02-20 |
| 1912568866 | Stephanie Anne Martin | Nurse Practitioner | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2019-06-21 |
| 1881166593 | Noco Newco, LLC | Clinic/Center | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2018-12-19 |
| 1538688239 | Banner Fort Collins Medical Center | Clinical Medical Laboratory | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2017-09-13 |
| 1043673403 | Kymberlee Royals | Anesthesiology | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2016-04-03 |
| 1467812404 | Kristina Kinney | Nurse Practitioner | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2016-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518475391 | Corinna Kromer | Specialist | 4818 Snowdrift Circle, Fort Collins, CO 80528 | 2018-01-16 |
| 1447793419 | Suites Fort Collins LLC | Skilled Nursing Facility | 4880 Ziegler Rd, Fort Collins, CO 80528 | 2016-11-23 |
| 1790231413 | Pineridge Healthcare, Inc. | Skilled Nursing Facility | 4880 Ziegler Road, Fort Collins, CO 80528 | 2016-09-01 |
| 1750647244 | Annika Svea Kamberelis | Physician Assistant | 2121 E Harmony Rd Unit 300, Fort Collins, CO 80528 | 2012-04-09 |
| 1831481944 | Natasha E. Walter-fisk | Counselor | 5225 White Willow Dr. M220, Fort Collins, CO 80528 | 2011-05-07 |
| 1629216627 | Augusto Miravalle | Psychiatry & Neurology | 2121 E. Harmony Road, Suite 180, Ft Collins, CO 80528 | 2009-01-29 |
| 1114100252 | Alicia R. Young | Psychologist | 8010 S Country Road 5, Suite 201, Windsor, CO 80528 | 2007-12-12 |
| 1346446903 | Jill Marie Olson | Psychiatry & Neurology | 2121 E. Harmony Road #180, Fort Collins, CO 80528 | 2007-06-21 |
| 1437368578 | Shelley M Oliver | Orthopaedic Surgery | 2121 E. Harmony Rd. Ste 290, Fort Collins, CO 80528 | 2007-05-22 |
| 1174748008 | Light of The Rockies Christian Counseling Center | Clinic/Center | 5236 Strauss Cabin Rd, Fort Collins, CO 80528 | 2007-04-16 |
| Find all providers in zip 80528 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881232692 | Poudre Valley Health Care Inc | Ambulance | 1024 S Lemay Ave., Fort Collins, CO 80524-3929 | 2019-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477183408 | Conejos County Government | Ambulance | 17705 State Hwy 285, Suite B, La Jara, CO 81140 | 2020-01-17 |
| 1598226367 | Hugo Fire Protection District | Ambulance | 227 5th St, Hugo, CO 80821-5034 | 2019-03-26 |
| 1619445236 | Event Medical Solutions Unlimited Pllc | Ambulance | 402 Enterprise Street, Unit 2, Hayden, CO 81639 | 2018-11-13 |
| 1538650551 | Mile High Limo LLC. | Ambulance | 4974 Eureka Ct, Denver, CO 80239-4274 | 2018-05-24 |
| 1427549898 | American Medical Response of Colorado Inc | Ambulance | 402 Elm Ave, Rocky Ford, CO 81067-1150 | 2018-05-22 |
| 1194215624 | Roaring Fork Fire Rescue Authority | Ambulance | 1089 J W Dr, Carbondale, CO 81623-9587 | 2018-05-10 |
| 1649789975 | Idalia Ambulance Service, Inc. | Ambulance | 9141 County Road Cc.8, P.o. Box 55, Idalia, CO 80735 | 2017-09-29 |
| 1538605530 | Rocky Mountain Fire District | Ambulance | 4390 Eldorado Springs Dr, Boulder, CO 80303-9613 | 2017-01-13 |
| 1619331584 | Metro Care Ambulance | Ambulance | 2323 S Troy St Ste 5-216, Aurora, CO 80014-1967 | 2016-04-07 |
| 1811357072 | Coach Transportation, Inc | Ambulance | 1900 E Pikes Peak Ave Ste 2, Colorado Springs, CO 80909-5862 | 2016-03-02 |
| Find all providers with the same taxonomy | ||||
| City | FORT COLLINS |
| Zip Code | 80528 |
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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.