NCMC SPECIALTY CLINIC (NPI# 1417193574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417193574 |
| Entity Type | Organization |
| Organization Name | NCMC SPECIALTY CLINIC |
| Practice Address |
1800 15th St Suite 210 Greeley CO 80631-4500 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 9703528216 |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2008-12-19 |
| 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 |
|---|---|---|---|---|
| 1063924348 | Ncmc Specialty Clinic | Clinic/Center | 2000 Boise Ave, Loveland, CO 80538-5006 | 2017-10-26 |
| 1164975165 | Ncmc Specialty Clinic | Clinic/Center | 1813 Cheyenne Ave, Loveland, CO 80538-4244 | 2016-07-27 |
| 1336488063 | Ncmc Specialty Clinic | Clinic/Center | 1801 16th St, Greeley, CO 80631-5154 | 2013-01-31 |
| 1134472574 | Ncmc Specialty Clinic | Clinic/Center | 608 E Harmony Rd Ste 101, Fort Collins, CO 80525-3210 | 2012-10-23 |
| 1225315898 | Ncmc Specialty Clinic | Clinic/Center | 2601 N Spruce St, Ogallala, NE 69153-2465 | 2011-11-10 |
| 1982987178 | Ncmc Specialty Clinic | Clinic/Center | 500 Main St, Fort Morgan, CO 80701-2130 | 2011-09-23 |
| 1043506371 | Ncmc Specialty Clinic | Clinic/Center | 1405 S 8th Ave, Ste 104, Sterling, CO 80751-4563 | 2011-06-24 |
| 1023319464 | Ncmc Specialty Clinic | Clinic/Center | 1800 15th St, Suite 320, Greeley, CO 80631-4500 | 2010-11-16 |
| 1619116159 | Ncmc Specialty Clinic | Clinic/Center | 1517 16th Avenue Ct, Greeley, CO 80631-4574 | 2009-02-06 |
| 1780829739 | Ncmc Specialty Clinic | Clinic/Center | 1800 15th St, Suite 200, Greeley, CO 80631-4500 | 2008-12-04 |
| Street Address |
1800 15TH ST SUITE 210 |
| 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.