BANNER HEALTH PHYSICIANS COLORADO LLC (NPI# 1194093260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194093260 |
| Entity Type | Organization |
| Organization Name | BANNER HEALTH PHYSICIANS COLORADO LLC |
| Practice Address |
2410 W 16th St Greeley CO 80634-6004 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 9703526353 |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2011-12-05 |
| 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 |
|---|---|---|---|---|
| 1659882272 | Banner Health Physicians Colorado LLC | Clinic/Center | 7859 6th Street, Wellington, CO 80549 | 2017-10-23 |
| 1346794393 | Banner Health Physicians Colorado LLC | Clinic/Center | 1800 15th St Ste G10, Greeley, CO 80631-4595 | 2016-08-08 |
| 1568840742 | Banner Health Physicians Colorado LLC | Clinic/Center | 5890 W 13th St Ste 104, Greeley, CO 80634-4821 | 2015-05-08 |
| 1730598749 | Banner Health Physicians Colorado LLC | Clinic/Center | 2555 E 13th St Ste 230, Loveland, CO 80537-5133 | 2014-08-05 |
| 1972842607 | Banner Health Physicians Colorado LLC | Clinic/Center | 1405 S 8th Ave Ste 104, Sterling, CO 80751-4560 | 2013-01-31 |
| 1487918728 | Banner Health Physicians Colorado LLC | Clinic/Center | 6801 W 20th St Unit 201, Greeley, CO 80634-9640 | 2012-07-02 |
| 1376806711 | Banner Health Physicians Colorado LLC | Clinic/Center | 8201 Spinnaker Bay Dr Ste D, Windsor, CO 80528-7534 | 2012-06-20 |
| 1174884274 | Banner Health Physicians Colorado LLC | Clinic/Center | 608 E Harmony Rd Ste 101, Fort Collins, CO 80525-3210 | 2012-06-05 |
| 1942576061 | Banner Health Physicians Colorado LLC | Clinic/Center | 1900 Boise Ave Ste 300, Loveland, CO 80538-5004 | 2012-03-23 |
| 1487926903 | Banner Health Physicians Colorado LLC | Clinic/Center | 615 Fairhurst, Sterling, CO 80751-4523 | 2012-01-30 |
| Street Address |
2410 W 16TH ST |
| City | GREELEY |
| State | CO |
| Zip Code | 80634-6004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942295241 | Paul S Hiratzka | Specialist | 2410 W 16th St, Greeley, CO 80634-6004 | 2005-09-13 |
| 1144702234 | Banner Health Physicians Colorado LLC | Clinic/Center | 2410 W 16th St, Greeley, CO 80634-6004 | 2018-09-05 |
| 1306358429 | Allison Polzin | Nurse Practitioner | 2410 W 16th St, Greeley, CO 80634 | 2017-10-30 |
| 1659652758 | Inhyup Kim | Psychiatry & Neurology | 2410 W 16th St, Greeley, CO 80634-6004 | 2011-09-01 |
| 1649579673 | Banner Greeley Specialists | Clinic/Center | 2410 W 16th St, Greeley, CO 80634-6004 | 2011-03-16 |
| 1306058599 | Chloe Melissa Mcculloch | Anesthesiology | 2410 W 16th St, Greeley, CO 80634-6004 | 2007-05-03 |
| 1528180023 | Women's Clinic of Greeley | Specialist | 2410 W 16th St, Greeley, CO 80634-6004 | 2007-04-04 |
| 1215093539 | Sean D Rockett | Physician Assistant | 2410 W 16th St, Greeley, CO 80634 | 2006-12-29 |
| 1841285970 | Neil Allen | Specialist | 2410 W 16th St, Greeley, CO 80634-6004 | 2005-09-14 |
| 1750376885 | Jean Pierre O'neal | Specialist | 2410 W 16th St, Greeley, CO 80634-6004 | 2005-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707843 | Witting Medical, LLC | Pathology | 17 Dos Rios, Greeley, CO 80634 | 2020-07-15 |
| 1730706102 | Heart Centered Counseling | Counselor | 1770 W 25th Street #206, Greeley, CO 80634 | 2020-07-01 |
| 1396374237 | Kidstuff Child and Family Counseling, P.C. | Counselor | 1770 25th Ave., Ste. 102, Greeley, CO 80634 | 2020-04-03 |
| 1164055745 | Stephanie Alexis Balunda | Speech-Language Pathologist | Uchealth Physical Therapy and Rehabilitation Clinic, 6767 West 29th St., Greeley, CO 80634 | 2020-02-21 |
| 1407413727 | Stephen P Street Pllc | Counselor | 4657 W. 20th Street, Unit B, Greeley, CO 80634 | 2019-05-22 |
| 1043797749 | Burt Stewart Dmd Pllc | Clinic/Center | 6937 West 10th Street, Greeley, CO 80634 | 2018-07-25 |
| 1164913885 | Innovations Pediatric Therapy, LLC | Occupational Therapist | 3403 W 7th St Apt A, Greeley, CO 80634 | 2018-05-29 |
| 1003305319 | Austin Michael Lake | Physical Therapist | 4681 W 20th St Unit 202b, Greeley, CO 80634 | 2018-05-02 |
| 1225542004 | Kevin Lichner | Specialist/Technologist | 522 28th Ave, Greeley, CO 80634 | 2017-11-30 |
| 1538683909 | Stacie Jackson | Physician Assistant | 6500 West 29th St Ste 106, Greeley, CO 80634 | 2017-07-27 |
| Find all providers in zip 80634 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346794393 | Banner Health Physicians Colorado LLC | Clinic/Center | 1800 15th St Ste G10, Greeley, CO 80631-4595 | 2016-08-08 |
| 1568840742 | Banner Health Physicians Colorado LLC | Clinic/Center | 5890 W 13th St Ste 104, Greeley, CO 80634-4821 | 2015-05-08 |
| 1487918728 | Banner Health Physicians Colorado LLC | Clinic/Center | 6801 W 20th St Unit 201, Greeley, CO 80634-9640 | 2012-07-02 |
| 1174886758 | Banner Greeley Anesthesia | Clinic/Center | 5890 W 13th St Ste 102, Greeley, CO 80634-4821 | 2012-06-19 |
| 1306114475 | Banner Health Physicians Colorado LLC | Clinic/Center | 1800 15th St Ste 300, Greeley, CO 80631-4562 | 2011-12-05 |
| 1295003366 | Banner Health Physicians Colorado LLC | Clinic/Center | 5890 W 13th St Ste 114, Greeley, CO 80634-4821 | 2011-12-05 |
| 1578840021 | Banner Health Physicians Colorado LLC | Clinic/Center | 5890 W 13th St Ste 106, Greeley, CO 80634-4821 | 2011-11-11 |
| 1447532908 | Banner Greeley Specialists | Clinic/Center | 710 11th Ave, Ste 106, Greeley, CO 80631-6405 | 2011-09-12 |
| 1659907376 | Banner Health Physicians Colorado LLC | Clinic/Center | 2001 70th Ave Ste 110, Greeley, CO 80634-4628 | 2020-03-13 |
| 1255971404 | North Colorado Medical Center | Clinic/Center | 1517 16th Avenue Ct, Greeley, CO 80631-4574 | 2020-01-15 |
| Find all providers in GREELEY | ||||
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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.