BANNER GREELEY SPECIALISTS (NPI# 1275869604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275869604 |
Entity Type | Organization |
Organization Name | BANNER GREELEY SPECIALISTS |
Practice Address |
1800 15th St Ste 100b Greeley CO 80631-4500 |
Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
Practice Telephone | 9703505612 |
Enumeration Date | 2009-10-20 |
Last Update Date | 2009-10-20 |
Authorized Official Name | DENNIS E DAHLEN (SR 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 | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447532908 | Banner Greeley Specialists | Clinic/Center | 710 11th Ave, Ste 106, Greeley, CO 80631-6405 | 2011-09-12 |
1386929198 | Banner Greeley Specialists | Clinic/Center | 5890 W 13th Street, Suite 114, Greeley, AZ 80634 | 2011-10-13 |
1609158724 | Banner Greeley Specialists | Clinic/Center | 1800 15th St, Ste 130, Greeley, CO 80631-4500 | 2011-09-14 |
1700167269 | Banner Greeley Specialists | Clinic/Center | 2400 Edison St, Brush, CO 80723-1640 | 2011-08-29 |
1649579673 | Banner Greeley Specialists | Clinic/Center | 2410 W 16th St, Greeley, CO 80634-6004 | 2011-03-16 |
1538471644 | Banner Greeley Specialists | Clinic/Center | 1300 Main St, Windsor, CO 80550-5989 | 2010-07-06 |
1831418995 | Banner Greeley Specialists | Clinic/Center | 2010 16th St, Ste A, Greeley, CO 80631-5162 | 2010-05-27 |
1659694743 | Banner Greeley Specialists | Clinic/Center | 5890 W 13th St, Ste 106, Greeley, CO 80634-4821 | 2010-03-04 |
1720312309 | Banner Greeley Specialists | Clinic/Center | 2923 Ginnala Dr, Loveland, CO 80538-2702 | 2009-09-29 |
1154654804 | Banner Greeley Specialists | Clinic/Center | 300 Exempla Cir, Suite 200, Lafayette, CO 80026-3397 | 2009-09-14 |
Street Address |
1800 15TH ST STE 100B |
City | GREELEY |
State | CO |
Zip Code | 80631-4500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205821162 | Anne Marie Lease | Nurse Practitioner | 1800 15th St, Suite 320, Greeley, CO 80631-4500 | 2005-09-16 |
1790024420 | Banner Health Physicians Colorado LLC | Clinic/Center | 1800 15th St, Ste 310, Greeley, CO 80631-4500 | 2013-01-31 |
1427397157 | Banner Health Physicians Colorado LLC | Clinic/Center | 1800 15th St, Ste 340, Greeley, CO 80631-4500 | 2013-01-31 |
1922346857 | Banner Hospital Based Physicians Colorado LLC | Clinic/Center | 1800 15th St, Ste A, Greeley, CO 80631-4500 | 2013-01-28 |
1558635011 | Banner Health Physicians Colorado LLC | Clinic/Center | 1800 15th St, Ste 220, Greeley, CO 80631-4500 | 2012-03-01 |
1073899134 | Banner Health Physicians Colorado LLC | Clinic/Center | 1800 15th St, Suite 210, Greeley, CO 80631-4500 | 2011-11-02 |
1609158724 | Banner Greeley Specialists | Clinic/Center | 1800 15th St, Ste 130, Greeley, CO 80631-4500 | 2011-09-14 |
1669775672 | Kara Reynolds | Physician Assistant | 1800 15th St, Suite 300, Greeley, CO 80631-4500 | 2010-12-13 |
1023319464 | Ncmc Specialty Clinic | Clinic/Center | 1800 15th St, Suite 320, Greeley, CO 80631-4500 | 2010-11-16 |
1942513965 | Banner Oncology Services | Clinic/Center | 1800 15th St, Suite A, Greeley, CO 80631-4500 | 2010-07-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497395743 | Marcia Martinez | Peer Specialist | 1700 N 17th Ave, Greeley, CO 80631 | 2020-01-14 |
1073083036 | Ryan Lawhead | Specialist/Technologist | 270 Alles Dr. D, Butler Hancock Athletic Center, Greeley, CO 80631 | 2018-12-03 |
1447766647 | Patricia G Ferguson | Counselor | 14272 Wcr 72, Greeley, CO 80631 | 2017-12-26 |
1760902662 | Robert Anthony Rexroad | Counselor | 1300 N. 17th Avenue, Greeley, CO 80631 | 2017-06-21 |
1326577750 | Danielle Rodriguez | Psychologist | 1300 N. 17th Ave, Greeley, CO 80631 | 2017-06-08 |
1790157865 | Safeway | Pharmacy | 3526 W 10th Street, Greeley, CO 80631 | 2015-10-28 |
1245574508 | Jayme L Clapp | Counselor | 1407 8th Ave, Greeley, CO 80631 | 2012-11-26 |
1114246006 | Cynthia Melissa Gitler | Emergency Medicine | Banner Health, North Colorado Medical Center, 1601 18th Street, Greenley, CO 80631 | 2010-05-18 |
1942438023 | Khoi Dinh Le | Surgery | 1800 15th St., Suite 200, Greeley, CO 80631 | 2009-06-26 |
1174760011 | Darwin James Hargrave | Counselor | 912 9th Ave., #222, Greeley, CO 80631 | 2009-01-14 |
Find all providers in zip 80631 |
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.