BANNER HEALTH PHYSICIANS COLORADO LLC (NPI# 1609137306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609137306 |
| Entity Type | Organization |
| Organization Name | BANNER HEALTH PHYSICIANS COLORADO LLC |
| Practice Address |
100 S Cherry Ave Unit 1 Eaton CO 80615-8256 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 9704543838 |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2012-05-30 |
| 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 |
100 S CHERRY AVE UNIT 1 |
| City | EATON |
| State | CO |
| Zip Code | 80615-8256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336177989 | Eaton Family Care | Clinic/Center | 100 S Cherry Ave Unit 1, Eaton, CO 80615-8256 | 2006-06-30 |
| 1164875720 | Paige Alexandra Helm | Nurse Practitioner | 100 S Cherry Ave Unit 1, Eaton, CO 80615-8256 | 2016-07-19 |
| 1245535897 | Tracy Doss Nunnally | Registered Nurse | 100 S Cherry Ave Unit 1, Eaton, CO 80615-8256 | 2011-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447740147 | Troy Klaassen | Physical Therapist | 201 S Elm Ave Ste 202, Eaton, CO 80615 | 2018-05-17 |
| 1659679454 | Shelley Elizabeth Hilderbrant | Massage Therapist | 200 S Cherry Ave, Unit 2 Suite B, Eaton, CO 80615 | 2011-03-03 |
| 1700951001 | Weld County School Re 2 | Local Education Agency (LEA) | 200 Park Avenue, Eaton, CO 80615 | 2006-11-21 |
| 1831119452 | Professional Pharmacy Services | Pharmacy | 180 S Elm, Eaton, CO 80615-3128 | 2006-07-19 |
| 1982871380 | Eaton Therapeutic Center | Public Health or Welfare | 123 Elm Ave, Eaton, CO 80615-3425 | 2008-05-14 |
| 1154989606 | Shirley Torrez | Massage Therapist | 123 Elm Ave, Eaton, CO 80615-3425 | 2019-05-30 |
| 1174815617 | Eatin Therapeutic Center | Residential Treatment Facility, Physical Disabilities | 123 Elm Ave, Eaton, CO 80615-3425 | 2011-05-03 |
| 1245521137 | Dorothy Mongan | Massage Therapist | 123 Elm Ave, Eaton, CO 80615-3425 | 2011-04-26 |
| 1336136001 | Heather M Simonson | Optometrist | 215 Elm Ave, Eaton, CO 80615-3428 | 2005-09-28 |
| 1942516646 | Maryn Caprice Sturm | Optometrist | 215 Elm Ave, Eaton, CO 80615-3428 | 2010-08-19 |
| Find all providers in zip 80615 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841441870 | Banner Medical Group Greeley LLC | Clinic/Center | 100 S Cherry Ave, Unit 1, Eaton, CO 80615-8255 | 2008-10-08 |
| 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.