MMC SPECIALTY CLINIC (NPI# 1194753780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194753780 |
| Entity Type | Organization |
| Organization Name | MMC SPECIALTY CLINIC |
| Practice Address |
1900 Boise Ave Ste 210 Loveland CO 80538-5004 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 9706354059 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-10-21 |
| Authorized Official Name | DENNIS DAHLEN (SR VICE PRESIDENT) |
| Authorized Official Telephone | 6027474000 |
| 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 | 64803031 | 05 |
| Street Address |
1900 BOISE AVE STE 210 |
| City | LOVELAND |
| State | CO |
| Zip Code | 80538-5004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265793970 | Banner Health Physicians Colorado LLC | Clinic/Center | 1900 Boise Ave Ste 210, Loveland, CO 80538-5004 | 2012-05-30 |
| 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 |
| 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 |
| 1447893326 | Noco Newco, LLC | Clinic/Center | 1900 Boise Ave Ste 420, Loveland, CO 80538-5004 | 2019-10-23 |
| 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.