BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC


Address: 5890 W 13th St, Ste 104, Greeley, CO 80634-4821
Phone: 9703922135

BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC (NPI# 1821336769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821336769
Entity Type Organization
Organization Name BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC
Practice Address 5890 W 13th St
Ste 104
Greeley
CO 80634-4821
Mailing Address 1441 N 12th St
Phoenix
AZ 85006-2837
Practice Telephone 9703922135
Practice Fax Number 9703783825
Enumeration Date 2013-01-28
Last Update Date 2013-01-28
Authorized Official Name DENNIS DAHLEN (SR VP FINANCE)
Authorized Official Telephone 6027474000
Is Organization Subpart Y
Parent Organization Name BANNER MEDICAL GROUP COLORADO

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider IDs and Locations

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
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
1639417660 Banner Hospital Based Physicians Colorado LLC Clinic/Center 2050 Boise Ave, Ste B, Loveland, CO 80538-5036 2013-01-25
1669710695 Banner Hospital Based Physicians Colorado LLC Clinic/Center 2000 Campbell Dr, Torrington, WY 82240-1528 2013-01-25

Office Location

Street Address 5890 W 13TH ST
STE 104
City GREELEY
State CO
Zip Code 80634-4821

Providers in the same location

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
1578103750 North Colorado Medical Center Clinic/Center 5890 W 13th St, Greeley, CO 80634-4821 2020-01-15
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
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
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Providers in the same zip code

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 Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City GREELEY
Zip Code 80634

Improve Information

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Dataset Information

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.

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