BANNER HEALTH PHYSICIANS WEST LLC (NPI# 1154687812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154687812 |
| Entity Type | Organization |
| Organization Name | BANNER HEALTH PHYSICIANS WEST LLC |
| Practice Address |
2601 N Spruce St Ogallala NE 69153-2465 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 3082843645 |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2012-11-12 |
| Authorized Official Name | DENNIS E DAHLEN (SR VP FINANCE) |
| Authorized Official Telephone | 6027474000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BANNER MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073516 | Banner Health Physicians West LLC | Clinic/Center | 201 14th St Ste B100, Wheatland, WY 82201-3201 | 2020-11-06 |
| 1528678786 | Banner Health Physicians West LLC | Clinic/Center | 2300 Gasser Rd, Riverton, WY 82501-2204 | 2020-08-03 |
| 1639617145 | Banner Health Physicians West LLC | Clinic/Center | 1356 Shiek St, Wheatland, WY 82201-3231 | 2017-02-03 |
| 1275913105 | Banner Health Physicians West LLC | Clinic/Center | 1 E Whalen Street, Guernsey, WY 82214 | 2015-06-05 |
| 1639682370 | Banner Health Physicians West LLC | Clinic/Center | 1356 Shiek St, Wheatland, WY 82201-3231 | 2017-11-15 |
| 1568909968 | Banner Health Physicians West LLC | Clinic/Center | 443 Big Horn St, Thermopolis, WY 82443-2306 | 2017-01-23 |
| 1942672977 | Banner Health Physicians West LLC | Clinic/Center | 201 14th St, Wheatland, WY 82201-3201 | 2015-10-29 |
| 1962882845 | Banner Health Physicians West LLC | Clinic/Center | 1551 Brice St, Wheatland, WY 82201-3505 | 2015-06-04 |
| 1598145476 | Banner Health Physicians West LLC | Clinic/Center | 222 S 5th St, Douglas, WY 82633-2534 | 2015-06-04 |
| 1568885655 | Banner Health Physicians West LLC | Clinic/Center | 2000 Campbell Dr, Torrington, WY 82240-1528 | 2014-01-27 |
| Street Address |
2601 N SPRUCE ST |
| City | OGALLALA |
| State | NE |
| Zip Code | 69153-2465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790789667 | Monica Rachelle Patin | Physician Assistant | 2601 N Spruce St, Ogallala, NE 69153-2465 | 2005-06-09 |
| 1811505431 | Amy Dawn Hoffman | Nurse Practitioner | 2601 N Spruce St, Ogallala, NE 69153-2465 | 2020-07-20 |
| 1578194668 | Mara Peters | Physician Assistant | 2601 N Spruce St, Ogallala, NE 69153-2465 | 2020-01-28 |
| 1902304702 | Ogallala Community Hospital | Clinic/Center | 2601 N Spruce St, Ogallala, NE 69153-2465 | 2018-01-26 |
| 1154705358 | Ogallala Community Hospital | General Acute Care Hospital | 2601 N Spruce St, Ogallala, NE 69153-2465 | 2015-07-17 |
| 1902299860 | Erica Leigh Ellicott | Physician Assistant | 2601 N Spruce St, Ogallala, NE 69153-2465 | 2015-03-16 |
| 1669884060 | Heather Hanna | Nurse Practitioner | 2601 N Spruce St, Ogallala, NE 69153-2465 | 2014-05-20 |
| 1619244464 | Bryan Scheer, Md, PC | Orthopaedic Surgery | 2601 N Spruce St, Ogallala, NE 69153-2465 | 2011-11-22 |
| 1225315898 | Ncmc Specialty Clinic | Clinic/Center | 2601 N Spruce St, Ogallala, NE 69153-2465 | 2011-11-10 |
| 1235390592 | Ogallala Medical Group | Durable Medical Equipment & Medical Supplies | 2601 N Spruce St, Ogallala, NE 69153-2465 | 2008-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306307632 | Creating Calm Counseling LLC | Counselor | 418 North Spruce Street, Suite 10, Ogallala, NE 69153 | 2019-03-28 |
| 1043689359 | Vicki Spahn | Speech-Language Pathologist | 314 West Fifth Street, Ogallala, NE 69153 | 2015-09-16 |
| 1811329097 | Tara Dawn Perlinger | Physical Therapist | 700 East 1st Street, Ogallala, NE 69153 | 2013-07-30 |
| 1821143512 | Richard Ray Pendleton Sr. | Counselor | 401 West 1st, Heartland Counseling, Ogallala, NE 69153 | 2007-01-24 |
| 1780737205 | City of Ogallala | Ambulance | 409 East 2nd St, Ogallala, NE 69153 | 2007-01-19 |
| 1043385495 | Beverly Ann Frates Mcmahon | Counselor | 319 East A St, Suite B, Ogallala, NE 69153 | 2006-11-21 |
| 1457436586 | Region II Human Services | Clinic/Center | 401 West 1st Street, Ogallala, NE 69153 | 2006-10-26 |
| 1730261371 | Annalisa Kay Meyer | Audiologist | 151 Hwy 26 West, Ogallala, NE 69153 | 2006-10-20 |
| 1942680053 | Kami Leigh Korth | Case Manager/Care Coordinator | 401 West 1st Street, Ogallala, NE 69153 | 2015-06-03 |
| 1447345566 | Ogallala Eyecare PC | Optometrist | 211 N Spruce, Ogallala, NE 69153-0568 | 2006-10-04 |
| Find all providers in zip 69153 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902304702 | Ogallala Community Hospital | Clinic/Center | 2601 N Spruce St, Ogallala, NE 69153-2465 | 2018-01-26 |
| 1225315898 | Ncmc Specialty Clinic | Clinic/Center | 2601 N Spruce St, Ogallala, NE 69153-2465 | 2011-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689209769 | Lincoln Joint & Wellness Care LLC | Clinic/Center | 4500 S 70th St Ste 117, Lincoln, NE 68516-4283 | 2020-03-09 |
| 1881123487 | Igotsober, LLC | Clinic/Center | 4905 Dodge St, Omaha, NE 68132-2961 | 2017-06-07 |
| 1942697735 | South Omaha Surgical Center LLC | Clinic/Center | 3201 S 24th St, Omaha, NE 68108-1825 | 2015-04-20 |
| 1790107753 | The Clearview Center, Incorporated | Clinic/Center | 105 S 49th St Ste K, Omaha, NE 68132-3252 | 2014-01-10 |
| 1851737316 | St. Mary's Community Hospital | Clinic/Center | 1301 Grundman Blvd., Suite A, Nebraska City, NE 68410-3320 | 2013-05-10 |
| 1639427560 | Bprc LLC | Clinic/Center | 1610 S 70th St, Suite 102, Lincoln, NE 68506-1565 | 2012-08-27 |
| 1265086698 | Mindful Counseling and Wellness, LLC | Clinic/Center | 421 S 9th St Ste 126, Lincoln, NE 68508 | 2019-07-24 |
| 1730647611 | Complete Family Treatment Services | Clinic/Center | 4600 Valley Rd Ste 425, Lincoln, NE 68510-4855 | 2019-03-09 |
| 1386157071 | City of Genoa | Clinic/Center | 303 Broadway St, Fullerton, NE 68638-3152 | 2017-11-16 |
| 1316357676 | Think Aksarben, LLC | Clinic/Center | 7100 W Center Rd, Omaha, NE 68106-2714 | 2014-05-07 |
| Find all providers with the same taxonomy | ||||
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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.