NOCO NEWCO, LLC (NPI# 1881166593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881166593 |
| Entity Type | Organization |
| Organization Name | NOCO NEWCO, LLC |
| Practice Address |
4700 Lady Moon Dr Fort Collins CO 80528-4426 |
| Mailing Address |
2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 |
| Practice Telephone | 9708214500 |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2018-12-19 |
| Authorized Official Name | DENNIS LARAWAY (CFO) |
| 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 |
|---|---|---|---|---|
| 1447893326 | Noco Newco, LLC | Clinic/Center | 1900 Boise Ave Ste 420, Loveland, CO 80538-5004 | 2019-10-23 |
| 1518439223 | Noco Newco, LLC | Clinic/Center | 1300 Main St, Windsor, CO 80550-5989 | 2018-12-19 |
| 1710458203 | Noco Newco, LLC | Clinic/Center | 2010 16th St Ste A, Greeley, CO 80631-5188 | 2018-12-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | NOCO Newco, LLC | 1801 16th Street, Greeley, CO 80631 |
| Street Address |
4700 LADY MOON DR |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80528-4426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659787554 | Banner Health | General Acute Care Hospital | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2014-07-11 |
| 1770192288 | Tracy J Hall | Registered Nurse | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2020-07-30 |
| 1568086890 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2020-06-02 |
| 1639705999 | Michelle Powers | Occupational Therapist | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2020-03-19 |
| 1659904357 | Rocky Mountain State Anesthesia Providers | Anesthesiology | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2020-02-20 |
| 1912568866 | Stephanie Anne Martin | Nurse Practitioner | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2019-06-21 |
| 1124532924 | Banner Health | Ambulance | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2017-12-01 |
| 1538688239 | Banner Fort Collins Medical Center | Clinical Medical Laboratory | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2017-09-13 |
| 1043673403 | Kymberlee Royals | Anesthesiology | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2016-04-03 |
| 1467812404 | Kristina Kinney | Nurse Practitioner | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2016-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518475391 | Corinna Kromer | Specialist | 4818 Snowdrift Circle, Fort Collins, CO 80528 | 2018-01-16 |
| 1447793419 | Suites Fort Collins LLC | Skilled Nursing Facility | 4880 Ziegler Rd, Fort Collins, CO 80528 | 2016-11-23 |
| 1790231413 | Pineridge Healthcare, Inc. | Skilled Nursing Facility | 4880 Ziegler Road, Fort Collins, CO 80528 | 2016-09-01 |
| 1750647244 | Annika Svea Kamberelis | Physician Assistant | 2121 E Harmony Rd Unit 300, Fort Collins, CO 80528 | 2012-04-09 |
| 1831481944 | Natasha E. Walter-fisk | Counselor | 5225 White Willow Dr. M220, Fort Collins, CO 80528 | 2011-05-07 |
| 1629216627 | Augusto Miravalle | Psychiatry & Neurology | 2121 E. Harmony Road, Suite 180, Ft Collins, CO 80528 | 2009-01-29 |
| 1114100252 | Alicia R. Young | Psychologist | 8010 S Country Road 5, Suite 201, Windsor, CO 80528 | 2007-12-12 |
| 1346446903 | Jill Marie Olson | Psychiatry & Neurology | 2121 E. Harmony Road #180, Fort Collins, CO 80528 | 2007-06-21 |
| 1437368578 | Shelley M Oliver | Orthopaedic Surgery | 2121 E. Harmony Rd. Ste 290, Fort Collins, CO 80528 | 2007-05-22 |
| 1174748008 | Light of The Rockies Christian Counseling Center | Clinic/Center | 5236 Strauss Cabin Rd, Fort Collins, CO 80528 | 2007-04-16 |
| Find all providers in zip 80528 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174884274 | Banner Health Physicians Colorado LLC | Clinic/Center | 608 E Harmony Rd Ste 101, Fort Collins, CO 80525-3210 | 2012-06-05 |
| 1407884000 | Medical Art Center of Fossil Creek | Clinic/Center | 7603 Colland Dr, Fort Collins, CO 80525-6929 | 2006-06-30 |
| 1740763069 | Community Birth Group | Clinic/Center | 951 Saddlebrook Ln, Fort Collins, CO 80525-6966 | 2018-09-12 |
| 1689021040 | Banner Hospital Based Physicians Colorado LLC | Clinic/Center | 608 E Harmony Rd Ste 101, Fort Collins, CO 80525-3210 | 2016-05-16 |
| 1366834244 | Banner Anesthesiologists Colorado LLC | Clinic/Center | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2015-03-02 |
| 1386034122 | Banner Hospital Based Physicians Colorado LLC | Clinic/Center | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2015-02-02 |
| 1194121293 | Banner Health Physicians Colorado LLC | Clinic/Center | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2014-11-17 |
| 1699181008 | Sports Recovery Center of The Rockies, LLC | Clinic/Center | 4745 Boardwalk Dr, #c1, Fort Collins, CO 80525-3768 | 2014-07-07 |
| 1730526096 | Banner Health Physicians Colorado LLC | Clinic/Center | 702a W Drake Rd, Fort Collins, CO 80526-5521 | 2013-05-28 |
| 1134472574 | Ncmc Specialty Clinic | Clinic/Center | 608 E Harmony Rd Ste 101, Fort Collins, CO 80525-3210 | 2012-10-23 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80528 |
Please comment or provide details below to improve the information on NOCO NEWCO, LLC.
| 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.