BANNER HEALTH PHYSICIANS COLORADO (NPI# 1902172026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902172026 |
| Entity Type | Organization |
| Organization Name | BANNER HEALTH PHYSICIANS COLORADO |
| Practice Address |
1405 S 8th Ave Ste 105 Sterling CO 80751-4560 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 9705268100 |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2012-03-23 |
| 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 |
| Street Address |
1405 S 8TH AVE STE 105 |
| City | STERLING |
| State | CO |
| Zip Code | 80751-4560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114557915 | Advantage Treatment Centers Inc | Clinic/Center | 12220 Hwy 61, Sterling, CO 80751 | 2020-01-21 |
| 1477018786 | Elizabeth Broadwell | Nurse Practitioner | 12101 Co-61, Sterling, CO 80751 | 2019-01-31 |
| 1396102794 | Jamie Soucie | Counselor | 330 W. Maint St. Ste B, Sterling, CO 80751 | 2016-01-15 |
| 1023487469 | Tappy Health & Wellness, Inc. | Physical Therapist | 309 S Railway St, Sterling, CO 80751 | 2015-09-16 |
| 1033465257 | Patricia Carol Smith | Physical Therapist | 100 Broadway St. Suite 24, Sterling, CO 80751 | 2012-07-25 |
| 1770855900 | Total Renal Care Inc | Clinic/Center | 603 Holly Dr, Sterling, CO 80751 | 2012-02-03 |
| 1609172782 | Keyna I Schlup | Family Medicine | 428 S 2nd St, Sterling, CO 80751 | 2011-02-07 |
| 1871811604 | Alexis Balstad | Obstetrics & Gynecology | 1405 S 8th Ave Suite 105, Sterling, CO 80751 | 2010-05-04 |
| 1770705659 | Donna Bishop Davis | Marriage & Family Therapist | 228 South Third Street, Suite 1, Sterling, CO 80751 | 2007-05-02 |
| 1659406338 | Kimberly Ann Suter | Dentist | 617 W Main Street, Sterling, CO 80751 | 2007-02-22 |
| Find all providers in zip 80751 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619355807 | Family Care Clinic | Clinic/Center | 1405 S 8th Ave Ste 102, Sterling, CO 80751-4560 | 2015-05-08 |
| 1972842607 | Banner Health Physicians Colorado LLC | Clinic/Center | 1405 S 8th Ave Ste 104, Sterling, CO 80751-4560 | 2013-01-31 |
| 1487926903 | Banner Health Physicians Colorado LLC | Clinic/Center | 615 Fairhurst, Sterling, CO 80751-4523 | 2012-01-30 |
| 1629679543 | Sterling Anesthesia, LLC | Clinic/Center | 46169 Westlake Dr Ste 200, Sterling, VA 20165-5875 | 2020-11-06 |
| 1467837609 | Sterling Regional Medcenter | Clinic/Center | 615 Fairhurst St, Sterling, CO 80751-4523 | 2015-07-29 |
| 1598004855 | Banner Anesthesiologists Colorado LLC | Clinic/Center | 615 Fairhurst St, Sterling, CO 80751-4523 | 2013-02-06 |
| 1982943619 | Banner Health Physicians Colorado LLC | Clinic/Center | 1405 S 8th Ave, Ste 104, Sterling, CO 80751-4563 | 2013-01-31 |
| 1447598479 | Banner Hospital Based Physicians Colorado LLC | Clinic/Center | 615 Fairhurst St, Sterling, CO 80751-4523 | 2013-01-25 |
| 1285900308 | Banner Health Physicians Colorado LLC | Clinic/Center | 1405 S 8th Ave Ste 101, Sterling, CO 80751-4560 | 2012-03-23 |
| 1043506371 | Ncmc Specialty Clinic | Clinic/Center | 1405 S 8th Ave, Ste 104, Sterling, CO 80751-4563 | 2011-06-24 |
| Find all providers in STERLING | ||||
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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.