BANNER HEALTH PHYSICIANS COLORADO LLC (NPI# 1336413558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336413558 |
| Entity Type | Organization |
| Organization Name | BANNER HEALTH PHYSICIANS COLORADO LLC |
| Practice Address |
1001 E Johnson St Holyoke CO 80734-1854 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 9708542241 |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-06 |
| 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 |
|---|---|---|---|---|
| 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 |
1001 E JOHNSON ST |
| City | HOLYOKE |
| State | CO |
| Zip Code | 80734-1854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770553794 | Kevin James Cuccinelli | Family Medicine | 1001 E Johnson St, Holyoke, CO 80734-1854 | 2006-01-23 |
| 1972139012 | Healthone Clinic Services - Cardiovascular LLC | Internal Medicine | 1001 E Johnson St, Holyoke, CO 80734-1854 | 2020-03-20 |
| 1790315315 | Poudre Valley Medical Group, LLC | Internal Medicine | 1001 E Johnson St, Holyoke, CO 80734-1854 | 2020-01-23 |
| 1124689336 | Alexandra E Gada | Optometrist | 1001 E Johnson St, Holyoke, CO 80734-1854 | 2019-06-27 |
| 1790264745 | Arika Lanae Luedke | Dental Hygienist | 1001 E Johnson St, Holyoke, CO 80734-1854 | 2018-08-10 |
| 1235624990 | East Phillips County Hospital District | Dentist | 1001 E Johnson St, Holyoke, CO 80734-1854 | 2018-06-26 |
| 1063901460 | Derek Reed Doorn | Nurse Practitioner | 1001 E Johnson St, Holyoke, CO 80734-1854 | 2018-05-02 |
| 1356842652 | East Phillips County Hospital District | Ambulance | 1001 E Johnson St, Holyoke, CO 80734-1854 | 2018-02-22 |
| 1265971006 | East Phillips County Hospital District | Optometrist | 1001 E Johnson St, Holyoke, CO 80734-1854 | 2017-02-13 |
| 1962944801 | East Phillips County Hospital District | Nurse Anesthetist, Certified Registered | 1001 E Johnson St, Holyoke, CO 80734-1854 | 2016-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992053706 | Sandra Mendoza Rafols | Physical Therapy Assistant | 618 S. Interocean Ave., Holyoke, CO 80734 | 2012-08-28 |
| 1952574105 | Pamida Stores Operating Co., LLC | Durable Medical Equipment & Medical Supplies | 118 South Interocean Ave, Holyoke, CO 80734 | 2008-04-09 |
| 1891935797 | Centennial Mental Health Center | Community/Behavioral Health | 115 N Campbell Ave, Holyoke, CO 80734-1003 | 2009-03-05 |
| 1851810337 | Centennial Mental Health Center, Inc. | Clinic/Center | 115 N Campbell Ave, Holyoke, CO 80734-1003 | 2017-09-15 |
| 1093113938 | Sharon Murray | Social Worker | 115 N Campbell Ave, Holyoke, CO 80734-1003 | 2014-12-09 |
| 1629484795 | Dorothy Drake | Social Worker | 115 N Campbell Ave, Holyoke, CO 80734-1003 | 2014-07-09 |
| 1932538725 | Ronnie Bahler | Social Worker | 115 N Campbell Ave, Holyoke, CO 80734-1003 | 2013-11-02 |
| 1942565296 | Jose Leon | Counselor | 115 N Campbell Ave, Holyoke, CO 80734-1003 | 2012-07-11 |
| 1831328087 | Edward Barry Winckler | Counselor | 115 N Campbell Ave, Holyoke, CO 80734-1003 | 2009-07-09 |
| 1194077560 | J&j Pharms. LLC. | Pharmacy | 112 E Carnahan St, Holyoke, CO 80734-1007 | 2012-10-10 |
| Find all providers in zip 80734 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902118011 | Family Care Clinic | Clinic/Center | 1001 E Johnson St, Holyoke, CO 80734-1854 | 2010-07-06 |
| 1164699450 | Diabetes Center of Western Mass, Inc | Clinic/Center | 1850 Northampton St, Holyoke, MA 01040-1908 | 2008-05-15 |
| 1992923486 | Holyoke Medical Center, Inc. | Clinic/Center | 575 Beech St, Holyoke, MA 01040-2223 | 2007-04-23 |
| 1881756948 | Holyoke Medical Center, Inc. | Clinic/Center | 575 Beech St, Holyoke, MA 01040-2223 | 2006-12-15 |
| 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.