BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC (NPI# 1639417660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639417660 |
| Entity Type | Organization |
| Organization Name | BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC |
| Practice Address |
2050 Boise Ave Ste B Loveland CO 80538-5036 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 9706798900 |
| Practice Fax Number | 9706798940 |
| 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 |
| 1275871204 | Banner Hospital Based Physicians Colorado LLC | Clinic/Center | 2400 Edison St, Brush, CO 80723-1640 | 2013-01-25 |
| 1801134812 | Banner Hospital Based Physicians Colorado LLC | Clinic/Center | 201 14th St, Wheatland, WY 82201-3201 | 2013-01-25 |
| 1669710695 | Banner Hospital Based Physicians Colorado LLC | Clinic/Center | 2000 Campbell Dr, Torrington, WY 82240-1528 | 2013-01-25 |
| Street Address |
2050 BOISE AVE STE B |
| City | LOVELAND |
| State | CO |
| Zip Code | 80538-5036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295713899 | Samuel A Shelanski | Internal Medicine | 2050 Boise Ave, Suite B, Loveland, CO 80538-5036 | 2006-01-04 |
| 1730492612 | Banner Oncology Services | Clinic/Center | 2050 Boise Ave, Suite B, Loveland, CO 80538-5036 | 2010-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332385 | Jocelyn Stott | Social Worker | 1611 N Estrella Avenue, Loveland, CO 80538 | 2020-10-02 |
| 1184234049 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 383 W. 37th St., Ste. 104, Loveland, CO 80538 | 2020-08-05 |
| 1578102752 | Shela Wagner | Student in an Organized Health Care Education/Training Program | 2603 North Monroe Ave, Loveland, CO 80538 | 2020-01-05 |
| 1184261901 | Sierra Compton | Behavior Technician | 2906 Ginnala Drive, Loveland, CO 80538 | 2019-12-01 |
| 1497306138 | Warrior Diagnostics, Inc. | Clinical Medical Laboratory | 6215 Aviation Cir., Loveland, CO 80538 | 2019-09-24 |
| 1093372625 | Kimberly Ann Boogaerts | Behavior Technician | 1437 North Denver Ave Ste 237, Loveland, CO 80538 | 2019-05-20 |
| 1033676101 | Hero Vision of Loveland, LLC | Optometrist | 3515 Mountain Lion Drive, Loveland, CO 80538 | 2019-02-26 |
| 1225509201 | Mbbk Consulting Inc. | Day Training, Developmentally Disabled Services | 4115 Georgetown Drive, Loveland, CO 80538 | 2018-12-17 |
| 1457833808 | Judy A Elliott | Speech-Language Pathologist | 3232 Williamsburg St, Loveland, CO 80538 | 2018-09-02 |
| 1245756584 | Beth Joyce Hale | Counselor | 1440 W.29th, #100, Loveland, CA 80538 | 2017-08-18 |
| Find all providers in zip 80538 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710517735 | Mckee Medical Center | Clinic/Center | 1805 E 18th St Ste 7, Loveland, CO 80538-4237 | 2020-01-17 |
| 1174153191 | Mckee Medical Center | Clinic/Center | 1825 E 18th St Ste C, Loveland, CO 80538-4255 | 2020-01-17 |
| 1164062303 | Mckee Medical Center | Clinic/Center | 1632 Hoffman Dr, Loveland, CO 80538-4337 | 2020-01-15 |
| 1164972949 | Mckee Medical Center | Clinic/Center | 1511 E 11th St Ste 180, Loveland, CO 80537-5006 | 2016-10-05 |
| 1730598749 | Banner Health Physicians Colorado LLC | Clinic/Center | 2555 E 13th St Ste 230, Loveland, CO 80537-5133 | 2014-08-05 |
| 1497014179 | Big Thompson Medical Group Inc | Clinic/Center | 2555 E 13th St Ste 100, Loveland, CO 80537-5134 | 2012-05-15 |
| 1942576061 | Banner Health Physicians Colorado LLC | Clinic/Center | 1900 Boise Ave Ste 300, Loveland, CO 80538-5004 | 2012-03-23 |
| 1194753780 | Mmc Specialty Clinic | Clinic/Center | 1900 Boise Ave Ste 210, Loveland, CO 80538-5004 | 2006-06-30 |
| 1134769318 | Mckee Medical Center | Clinic/Center | 2555 E 13th St Ste 100, Loveland, CO 80537-5134 | 2020-01-15 |
| 1134763782 | Honey Bee Health Collective | Clinic/Center | 241 Lori Dr, Loveland, CO 80537-6269 | 2019-11-06 |
| Find all providers in LOVELAND | ||||
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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.