BANNER HEALTH PHYSICIANS WEST LLC (NPI# 1689928467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689928467 |
| Entity Type | Organization |
| Organization Name | BANNER HEALTH PHYSICIANS WEST LLC |
| Practice Address |
1100 W 2nd St Oshkosh NE 69154-6152 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 3087723283 |
| Practice Fax Number | 3087721038 |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-12 |
| 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 |
|---|---|---|---|---|
| 1669073516 | Banner Health Physicians West LLC | Clinic/Center | 201 14th St Ste B100, Wheatland, WY 82201-3201 | 2020-11-06 |
| 1528678786 | Banner Health Physicians West LLC | Clinic/Center | 2300 Gasser Rd, Riverton, WY 82501-2204 | 2020-08-03 |
| 1639617145 | Banner Health Physicians West LLC | Clinic/Center | 1356 Shiek St, Wheatland, WY 82201-3231 | 2017-02-03 |
| 1275913105 | Banner Health Physicians West LLC | Clinic/Center | 1 E Whalen Street, Guernsey, WY 82214 | 2015-06-05 |
| 1639682370 | Banner Health Physicians West LLC | Clinic/Center | 1356 Shiek St, Wheatland, WY 82201-3231 | 2017-11-15 |
| 1568909968 | Banner Health Physicians West LLC | Clinic/Center | 443 Big Horn St, Thermopolis, WY 82443-2306 | 2017-01-23 |
| 1942672977 | Banner Health Physicians West LLC | Clinic/Center | 201 14th St, Wheatland, WY 82201-3201 | 2015-10-29 |
| 1962882845 | Banner Health Physicians West LLC | Clinic/Center | 1551 Brice St, Wheatland, WY 82201-3505 | 2015-06-04 |
| 1598145476 | Banner Health Physicians West LLC | Clinic/Center | 222 S 5th St, Douglas, WY 82633-2534 | 2015-06-04 |
| 1568885655 | Banner Health Physicians West LLC | Clinic/Center | 2000 Campbell Dr, Torrington, WY 82240-1528 | 2014-01-27 |
| Street Address |
1100 W 2ND ST |
| City | OSHKOSH |
| State | NE |
| Zip Code | 69154-6152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962475467 | Garden County Hospital & Nursing Home | General Acute Care Hospital | 1100 W 2nd St, Oshkosh, NE 69154-6096 | 2006-02-07 |
| 1336552280 | Regional West Garden County | Family Medicine | 1100 W 2nd St, Ste 100, Oshkosh, NE 69154-6152 | 2014-06-09 |
| 1780017921 | Stacey Jo Chudomelka | Physical Therapy Assistant | 1100 W 2nd St, Oshkosh, NE 69154-6152 | 2013-08-12 |
| 1558622548 | Laurie Lea Soper | Nurse Practitioner | 1100 W 2nd St, Oshkosh, NE 69154-6152 | 2012-06-06 |
| 1831357086 | Garden County Hospital & Nursing Home | Exclusive Provider Organization | 1100 W 2nd St, Oshkosh, NE 69154-6096 | 2008-05-23 |
| 1306911938 | Garden County Hospital and Nursing Home | Medicare Defined Swing Bed Unit | 1100 W 2nd St, Oshkosh, NE 69154-6117 | 2006-11-21 |
| 1265536676 | Garden County Hospital & Nursing Home | Nursing Care | 1100 W 2nd St, Oshkosh, NE 69154-6096 | 2006-09-08 |
| 1972607380 | Garden County Hospital & Nursing Home | Clinic/Center | 1100 W 2nd St, Oshkosh, NE 69154-6096 | 2006-09-08 |
| 1427078252 | Tamela Ulila Stout | Specialist/Technologist | 1100 W 2nd St, Oshkosh, NE 69154-6096 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972650422 | Albert C Coco Dds PC | Dentist | 1915 No 121st Street, Suite A, Omaha, NE 69154 | 2007-01-05 |
| 1922102938 | Tim Andrew Jensen | Dentist | 390 Main St, Oshkosh, NE 69154-0590 | 2006-09-11 |
| 1316505324 | Garden County Transportation | Bus | 619 Main St, Oshkosh, NE 69154-5034 | 2019-06-04 |
| 1497165831 | Panhandle Mental Health Center | Community/Behavioral Health | 310 Main St Ofc A, Oshkosh, NE 69154-6112 | 2014-05-07 |
| 1528064540 | Ame | Pharmacy | 311 Main St, Oshkosh, NE 69154-6112 | 2005-06-23 |
| 1295779593 | Lauren J Tophoj | Pharmacist | 311 Main St, Oshkosh, NE 69154-6112 | 2006-06-16 |
| 1144633223 | Regional West Garden County | General Acute Care Hospital | 1100 West 2nd, Oshkosh, NE 69154-6117 | 2014-06-06 |
| 1356754048 | Regional West Garden County | Nursing Facility/Intermediate Care Facility | 1100 West 2nd, Oshkosh, NE 69154-6117 | 2014-06-10 |
| 1225441173 | Regional West Garden County | General Acute Care Hospital | 1100 West 2nd, Oshkosh, NE 69154-6117 | 2014-06-09 |
| 1184935355 | Crystal Leach | Counselor | 1100 West 2nd Street, Oshkosh, NE 69154-6152 | 2010-06-23 |
| Find all providers in zip 69154 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679731954 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1128 E Parkway Ave, Oshkosh, WI 54901 | 2008-05-23 |
| 1346408648 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 2700 W 9th Ave, Suite 310, Oshkosh, WI 54904 | 2008-05-23 |
| 1811155195 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 2700 W 9th Ave, Suite 220, Oshkosh, WI 54904 | 2008-05-23 |
| 1164680468 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 2700 W 9th Ave, Oshkosh, WI 54904 | 2008-05-23 |
| 1881852184 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 2700 W 9th Ave, Suite 203, Oshkosh, WI 54904 | 2008-05-23 |
| 1235397530 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 2700 W 9th Ave, Suite 230, Oshkosh, WI 54904 | 2008-05-23 |
| 1346408630 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 2725 Jackson St, Oshkosh, WI 54901 | 2008-05-23 |
| 1154588606 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 500 S Oakwood Rd, Oshkosh, WI 54904 | 2008-05-21 |
| 1942477187 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1855 S Koeller St, Oshkosh, WI 54902 | 2008-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689209769 | Lincoln Joint & Wellness Care LLC | Clinic/Center | 4500 S 70th St Ste 117, Lincoln, NE 68516-4283 | 2020-03-09 |
| 1881123487 | Igotsober, LLC | Clinic/Center | 4905 Dodge St, Omaha, NE 68132-2961 | 2017-06-07 |
| 1942697735 | South Omaha Surgical Center LLC | Clinic/Center | 3201 S 24th St, Omaha, NE 68108-1825 | 2015-04-20 |
| 1790107753 | The Clearview Center, Incorporated | Clinic/Center | 105 S 49th St Ste K, Omaha, NE 68132-3252 | 2014-01-10 |
| 1851737316 | St. Mary's Community Hospital | Clinic/Center | 1301 Grundman Blvd., Suite A, Nebraska City, NE 68410-3320 | 2013-05-10 |
| 1639427560 | Bprc LLC | Clinic/Center | 1610 S 70th St, Suite 102, Lincoln, NE 68506-1565 | 2012-08-27 |
| 1265086698 | Mindful Counseling and Wellness, LLC | Clinic/Center | 421 S 9th St Ste 126, Lincoln, NE 68508 | 2019-07-24 |
| 1730647611 | Complete Family Treatment Services | Clinic/Center | 4600 Valley Rd Ste 425, Lincoln, NE 68510-4855 | 2019-03-09 |
| 1902304702 | Ogallala Community Hospital | Clinic/Center | 2601 N Spruce St, Ogallala, NE 69153-2465 | 2018-01-26 |
| 1386157071 | City of Genoa | Clinic/Center | 303 Broadway St, Fullerton, NE 68638-3152 | 2017-11-16 |
| 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.