BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC (NPI# 1275871204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275871204 |
| Entity Type | Organization |
| Organization Name | BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC |
| Practice Address |
2400 Edison St Brush CO 80723-1640 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 9708426200 |
| Practice Fax Number | 9708426290 |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2013-01-25 |
| Authorized Official Name | DENNIS DAHLEN (SR VP FINANCE) |
| Authorized Official Telephone | 6027474000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BANNER MEDICAL GROUP COLORADO |
| 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 |
|---|---|---|---|---|
| 1689021040 | Banner Hospital Based Physicians Colorado LLC | Clinic/Center | 608 E Harmony Rd Ste 101, Fort Collins, CO 80525-3210 | 2016-05-16 |
| 1386034122 | Banner Hospital Based Physicians Colorado LLC | Clinic/Center | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2015-02-02 |
| 1093127276 | Banner Hospital Based Physicians Colorado LLC | Clinic/Center | 2000 Boise Ave, Loveland, CO 80538-5006 | 2014-05-22 |
| 1922346857 | Banner Hospital Based Physicians Colorado LLC | Clinic/Center | 1800 15th St, Ste A, Greeley, CO 80631-4500 | 2013-01-28 |
| 1821336769 | Banner Hospital Based Physicians Colorado LLC | Clinic/Center | 5890 W 13th St, Ste 104, Greeley, CO 80634-4821 | 2013-01-28 |
| 1447598479 | Banner Hospital Based Physicians Colorado LLC | Clinic/Center | 615 Fairhurst St, Sterling, CO 80751-4523 | 2013-01-25 |
| 1629316641 | Banner Hospital Based Physicians Colorado LLC | Clinic/Center | 400 S 15th St, Worland, WY 82401-3531 | 2013-01-25 |
| 1801134812 | Banner Hospital Based Physicians Colorado LLC | Clinic/Center | 201 14th St, Wheatland, WY 82201-3201 | 2013-01-25 |
| 1639417660 | Banner Hospital Based Physicians Colorado LLC | Clinic/Center | 2050 Boise Ave, Ste B, Loveland, CO 80538-5036 | 2013-01-25 |
| 1669710695 | Banner Hospital Based Physicians Colorado LLC | Clinic/Center | 2000 Campbell Dr, Torrington, WY 82240-1528 | 2013-01-25 |
| Street Address |
2400 EDISON ST |
| City | BRUSH |
| State | CO |
| Zip Code | 80723-1640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649262262 | Heidi A Reed | Nurse Anesthetist, Certified Registered | 2400 Edison St, Brush, CO 80723-1640 | 2005-08-19 |
| 1386268563 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 2400 Edison St, Brush, CO 80723-1640 | 2020-06-03 |
| 1902319882 | Astro Anesthesia Associates Pllc | Nurse Anesthetist, Certified Registered | 2400 Edison St, Brush, CO 80723-1640 | 2017-11-14 |
| 1770094831 | East Morgan County Hospital | Clinic/Center | 2400 Edison St, Brush, CO 80723-1640 | 2017-10-17 |
| 1053830752 | East Morgan County Hospital | Clinical Medical Laboratory | 2400 Edison St, Brush, CO 80723-1640 | 2017-09-13 |
| 1548798176 | Ryan Scott Reiss | Nurse Practitioner | 2400 Edison St, Brush, CO 80723-1640 | 2017-05-26 |
| 1346781846 | Sandra Jane Boone | Registered Nurse | 2400 Edison St, Brush, CO 80723-1640 | 2017-03-16 |
| 1376094151 | Zachary Stringham | Physician Assistant | 2400 Edison St, Brush, CO 80723-1640 | 2016-10-17 |
| 1497204465 | Riverview Medical Group Pllc | Family Medicine | 2400 Edison St, Brush, CO 80723-1640 | 2016-09-30 |
| 1467827774 | Rmc Medical LLC | Family Medicine | 2400 Edison St, Brush, CO 80723-1640 | 2015-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366543639 | Therese A Gonzales | Dental Hygienist | 412 Edison, Brush, CO 80723 | 2006-09-26 |
| 1821056375 | Suzanne R Becker | Social Worker | 518 Curtis St, Brush, CO 80723 | 2006-05-03 |
| 1740242494 | Morgan County Dental Care PC | Dentist | 242 Cambridge St, Brush, CO 80723 | 2006-04-06 |
| 1598170532 | Landon Heckman | Dentist | 242 Cambridge St, Brush, CO 80723 | 2014-06-28 |
| 1861946832 | Colorado Dentistry for Children LLC | Dentist | 242 Cambridge St, Brush, CO 80723-1608 | 2016-08-08 |
| 1609219757 | Carissa Molina | Dentist | 242 Cambridge St, Brush, CO 80723-1608 | 2013-04-09 |
| 1275734584 | Monty Carl Kingsley | Dentist | 242 Cambridge St, Suite 2, Brush, CO 80723-1608 | 2007-05-31 |
| 1841310737 | Ssc Brush Sunset Manor Operating Company LLC | Respite Care | 2200 Edison St, Brush, CO 80723-1609 | 2007-04-02 |
| 1548819147 | Juhee Yi | Speech-Language Pathologist | 2200 Edison St, Brush, CO 80723-1609 | 2019-09-05 |
| 1194374009 | Lodina Marlene Weingardt | Physical Therapy Assistant | 2200 Edison St, Brush, CO 80723-1609 | 2019-09-04 |
| Find all providers in zip 80723 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518206879 | Banner Anesthesiologists Colorado LLC | Clinic/Center | 2400 Edison St, Brush, CO 80723-1640 | 2013-02-06 |
| 1639434954 | Banner Mountain Vista Orthopaedic Medical Clinic | Clinic/Center | 2400 Edison St, Brush, CO 80723-1640 | 2012-07-12 |
| 1114204542 | Banner Health Physicians Colorado LLC | Clinic/Center | 2400 Edison St, Brush, CO 80723-1640 | 2011-11-14 |
| 1700167269 | Banner Greeley Specialists | Clinic/Center | 2400 Edison St, Brush, CO 80723-1640 | 2011-08-29 |
| 1285870295 | Emch Specialists | Clinic/Center | 2400 Edison St, Brush, CO 80723-1640 | 2008-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235127 | Matthews-vu Medical Group, P.C. | Clinic/Center | 4190 E Woodmen Rd Ste 230, Colorado Springs, CO 80920-8075 | 2020-11-06 |
| 1811596497 | Eye Associates of Colorado Springs, PC | Clinic/Center | 7075 Campus Dr Ste 100, Colorado Springs, CO 80920-6524 | 2020-10-23 |
| 1477169670 | Yampa Valley Medical Center | Clinic/Center | 136 Lincoln Ave, Steamboat Springs, CO 80487 | 2020-09-22 |
| 1467067702 | Western Infectious Disease Consultants, P.C. | Clinic/Center | 1551 Professional Ln Unit 280, Longmont, CO 80501-6965 | 2020-09-14 |
| 1932714714 | Silver Linings House Calls LLC | Clinic/Center | 5040 Shelby Dr, Castle Rock, CO 80104-5433 | 2020-09-09 |
| 1538774377 | Kremmling Memorial Hospital District | Clinic/Center | 1000 Granby Park South, Granby, CO 80446-8900 | 2020-09-09 |
| 1396356325 | Yampa Valley Medical Center | Clinic/Center | 940 Central Park Dr Ste 207, Steamboat Springs, CO 80487-8853 | 2020-08-13 |
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1609400407 | Pure Healthcare of Colorado LLC | Clinic/Center | 320 E Fontanero St Ste 103, Colorado Springs, CO 80907-7535 | 2020-03-02 |
| 1073146833 | Boulder Medical Center, P.C. | Clinic/Center | 89 S Briggs St Ste 105, Erie, CO 80516-4063 | 2020-02-19 |
| 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.