BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC (NPI# 1922346857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922346857 |
| Entity Type | Organization |
| Organization Name | BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC |
| Practice Address |
1800 15th St Ste A Greeley CO 80631-4500 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 9703783894 |
| Practice Fax Number | 9703783897 |
| 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 |
| 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 |
| 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 |
| 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 |
| Street Address |
1800 15TH ST STE A |
| City | GREELEY |
| State | CO |
| Zip Code | 80631-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205821162 | Anne Marie Lease | Nurse Practitioner | 1800 15th St, Suite 320, Greeley, CO 80631-4500 | 2005-09-16 |
| 1790024420 | Banner Health Physicians Colorado LLC | Clinic/Center | 1800 15th St, Ste 310, Greeley, CO 80631-4500 | 2013-01-31 |
| 1427397157 | Banner Health Physicians Colorado LLC | Clinic/Center | 1800 15th St, Ste 340, Greeley, CO 80631-4500 | 2013-01-31 |
| 1558635011 | Banner Health Physicians Colorado LLC | Clinic/Center | 1800 15th St, Ste 220, Greeley, CO 80631-4500 | 2012-03-01 |
| 1073899134 | Banner Health Physicians Colorado LLC | Clinic/Center | 1800 15th St, Suite 210, Greeley, CO 80631-4500 | 2011-11-02 |
| 1609158724 | Banner Greeley Specialists | Clinic/Center | 1800 15th St, Ste 130, Greeley, CO 80631-4500 | 2011-09-14 |
| 1669775672 | Kara Reynolds | Physician Assistant | 1800 15th St, Suite 300, Greeley, CO 80631-4500 | 2010-12-13 |
| 1023319464 | Ncmc Specialty Clinic | Clinic/Center | 1800 15th St, Suite 320, Greeley, CO 80631-4500 | 2010-11-16 |
| 1942513965 | Banner Oncology Services | Clinic/Center | 1800 15th St, Suite A, Greeley, CO 80631-4500 | 2010-07-19 |
| 1770819922 | Heather Ann Martinez | Nurse Practitioner | 1800 15th St, Greeley, CO 80631-4500 | 2009-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497395743 | Marcia Martinez | Peer Specialist | 1700 N 17th Ave, Greeley, CO 80631 | 2020-01-14 |
| 1073083036 | Ryan Lawhead | Specialist/Technologist | 270 Alles Dr. D, Butler Hancock Athletic Center, Greeley, CO 80631 | 2018-12-03 |
| 1447766647 | Patricia G Ferguson | Counselor | 14272 Wcr 72, Greeley, CO 80631 | 2017-12-26 |
| 1760902662 | Robert Anthony Rexroad | Counselor | 1300 N. 17th Avenue, Greeley, CO 80631 | 2017-06-21 |
| 1326577750 | Danielle Rodriguez | Psychologist | 1300 N. 17th Ave, Greeley, CO 80631 | 2017-06-08 |
| 1790157865 | Safeway | Pharmacy | 3526 W 10th Street, Greeley, CO 80631 | 2015-10-28 |
| 1245574508 | Jayme L Clapp | Counselor | 1407 8th Ave, Greeley, CO 80631 | 2012-11-26 |
| 1114246006 | Cynthia Melissa Gitler | Emergency Medicine | Banner Health, North Colorado Medical Center, 1601 18th Street, Greenley, CO 80631 | 2010-05-18 |
| 1942438023 | Khoi Dinh Le | Surgery | 1800 15th St., Suite 200, Greeley, CO 80631 | 2009-06-26 |
| 1174760011 | Darwin James Hargrave | Counselor | 912 9th Ave., #222, Greeley, CO 80631 | 2009-01-14 |
| Find all providers in zip 80631 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| 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 | ||||
Please comment or provide details below to improve the information on BANNER HOSPITAL BASED PHYSICIANS COLORADO 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.