NORTH COLORADO MEDICAL CENTER (NPI# 1578103750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578103750 |
| Entity Type | Organization |
| Organization Name | NORTH COLORADO MEDICAL CENTER |
| Practice Address |
5890 W 13th St Greeley CO 80634-4821 |
| Mailing Address |
2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 |
| Practice Telephone | 9703564567 |
| Mailing Telephone | 6027474000 |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-01-15 |
| Authorized Official Name | DENNIS LARAWAY (CFO) |
| Authorized Official Telephone | 6027474000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BANNER HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770526337 | North Colorado Medical Center | Home Health | 2010 16th St, Greeley, CO 80631-5188 | 2006-06-13 |
| 1255971404 | North Colorado Medical Center | Clinic/Center | 1517 16th Avenue Ct, Greeley, CO 80631-4574 | 2020-01-15 |
| 1831739267 | North Colorado Medical Center | General Acute Care Hospital | 2001 70th Ave, Greeley, CO 80634-4621 | 2020-01-14 |
| 1861989212 | North Colorado Medical Center | Ambulance | 1801 16th St, Greeley, CO 80631-5154 | 2018-04-20 |
| 1457850430 | North Colorado Medical Center | Ambulance | 1801 16th St, Greeley, CO 80631-5154 | 2018-02-06 |
| 1104345800 | North Colorado Medical Center | Clinical Medical Laboratory | 1801 16th St, Greeley, CO 80631-5154 | 2017-09-13 |
| 1588928519 | North Colorado Medical Center | Clinic/Center | 2000 70th Ave, Greeley, CO 80634-8626 | 2012-06-25 |
| 1417109307 | North Colorado Medical Center | Ambulance | 1801 16th St, Greeley, CO 80631-5154 | 2008-10-22 |
| 1801059415 | North Colorado Medical Center | General Acute Care Hospital | 1801 16th St, Greeley, CO 80631-5154 | 2008-07-03 |
| 1467519843 | North Colorado Medical Center | Skilled Nursing Facility | 1801 16th St, Greeley, CO 80631-5154 | 2007-01-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | NORTH COLORADO MEDICAL CENTER FOUNDATION, INC. | 1801 16th Street, Greeley, CO 80631 |
| Street Address |
5890 W 13TH ST |
| City | GREELEY |
| State | CO |
| Zip Code | 80634-4821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609850056 | Thomas J Pazik | Orthopaedic Surgery | 5890 W 13th St, Ste 101, Greeley, CO 80634-4821 | 2005-11-30 |
| 1184257883 | Rocky Mountain State Anesthesia Providers | Anesthesiology | 5890 W 13th St, Greeley, CO 80634-4821 | 2020-02-20 |
| 1316399686 | Randall Scott Sims | Social Worker | 5890 W 13th St, Sutie 114, Greeley, CO 80634-4821 | 2016-07-11 |
| 1417296773 | Banner Anesthesiologists Colorado LLC | Clinic/Center | 5890 W 13th St, Ste 102, Greeley, CO 80634-4821 | 2013-02-06 |
| 1821336769 | Banner Hospital Based Physicians Colorado LLC | Clinic/Center | 5890 W 13th St, Ste 104, Greeley, CO 80634-4821 | 2013-01-28 |
| 1033474143 | Daniel Anthony Veronie | Physician Assistant | 5890 W 13th St, Suite 101, Greeley, CO 80634-4821 | 2012-07-05 |
| 1316263551 | Banner Imaging Associates of North Colorado | Clinic/Center | 5890 W 13th St, Greeley, CO 80634-4821 | 2010-04-13 |
| 1659694743 | Banner Greeley Specialists | Clinic/Center | 5890 W 13th St, Ste 106, Greeley, CO 80634-4821 | 2010-03-04 |
| 1457594210 | Banner Mountain Vista Orthopaedic Medical Clinic | Clinic/Center | 5890 W 13th St, Ste 101, Greeley, CO 80634-4821 | 2009-04-09 |
| 1750573283 | David F Ritsema | Urology | 5890 W 13th St, Suite 106, Greeley, CO 80634-4821 | 2007-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707843 | Witting Medical, LLC | Pathology | 17 Dos Rios, Greeley, CO 80634 | 2020-07-15 |
| 1730706102 | Heart Centered Counseling | Counselor | 1770 W 25th Street #206, Greeley, CO 80634 | 2020-07-01 |
| 1396374237 | Kidstuff Child and Family Counseling, P.C. | Counselor | 1770 25th Ave., Ste. 102, Greeley, CO 80634 | 2020-04-03 |
| 1164055745 | Stephanie Alexis Balunda | Speech-Language Pathologist | Uchealth Physical Therapy and Rehabilitation Clinic, 6767 West 29th St., Greeley, CO 80634 | 2020-02-21 |
| 1407413727 | Stephen P Street Pllc | Counselor | 4657 W. 20th Street, Unit B, Greeley, CO 80634 | 2019-05-22 |
| 1043797749 | Burt Stewart Dmd Pllc | Clinic/Center | 6937 West 10th Street, Greeley, CO 80634 | 2018-07-25 |
| 1164913885 | Innovations Pediatric Therapy, LLC | Occupational Therapist | 3403 W 7th St Apt A, Greeley, CO 80634 | 2018-05-29 |
| 1003305319 | Austin Michael Lake | Physical Therapist | 4681 W 20th St Unit 202b, Greeley, CO 80634 | 2018-05-02 |
| 1225542004 | Kevin Lichner | Specialist/Technologist | 522 28th Ave, Greeley, CO 80634 | 2017-11-30 |
| 1538683909 | Stacie Jackson | Physician Assistant | 6500 West 29th St Ste 106, Greeley, CO 80634 | 2017-07-27 |
| Find all providers in zip 80634 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831739267 | North Colorado Medical Center | General Acute Care Hospital | 2001 70th Ave, Greeley, CO 80634-4621 | 2020-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235777889 | Aspen Valley Hospital District | General Acute Care Hospital | 234 Cody Lane, Cardiac Rehab Basalt, Basalt, CO 81621 | 2019-12-13 |
| 1114565736 | Aspen Valley Hospital District | General Acute Care Hospital | 239 Snowmass Club Circle, Pt Snowmass Club, Snowmass Village, CO 81615 | 2019-12-13 |
| 1144669102 | Emergency Medical & Surgical Specialists of Colorado LLC | General Acute Care Hospital | 99 Kearney St, Denver, CO 80220-5922 | 2013-06-22 |
| 1790983872 | Greg A Stransky | General Acute Care Hospital | 6365 W 45th Pl, Wheat Ridge, CO 80033-3730 | 2007-07-10 |
| 1366452732 | County of Kiowa Hospital District | General Acute Care Hospital | 1208 Luther Street, Eads, CO 81036 | 2006-08-09 |
| 1063430346 | Rangely Hospital District | General Acute Care Hospital | 225 Eagle Crest Dr., Rangely, CO 81648-2100 | 2006-07-17 |
| 1174557763 | Amy Wehrman | General Acute Care Hospital | 19269 W 53rd Loop, Golden, CO 80403-2161 | 2006-07-10 |
| 1891733879 | East Phillips County Hospital District | General Acute Care Hospital | 1001 E Johnson Street, Holyoke, CO 80734-1854 | 2006-06-03 |
| 1497710958 | St. Vincent General Hospital District | General Acute Care Hospital | 822 W 4th Street, Leadville, CO 80461 | 2006-04-19 |
| 1407811961 | St. Vincent General Hospital District | General Acute Care Hospital | 822 W. 4th Street, Leadville, CO 80461-3897 | 2006-04-19 |
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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.