NCMC SPECIALTY CLINIC
NPI 1063669208
Clinic/Center - Multi-Specialty in Loveland, CO

Active since August 19, 2008
1907 BOISE AVE, SUITE 3, LOVELAND, CO 80538(970) 378-4676 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ncmc Specialty Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NCMC SPECIALTY CLINIC (NPI 1063669208) is a healthcare organization registered as a multi-specialty in Loveland, Colorado and active in the NPI registry since August 2008. The organization lists Dennis Laraway, Cfo, as its authorized official.

NPPES Registry Identity

NPI1063669208
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameNCMC SPECIALTY CLINIC
Location Address1907 BOISE AVE, SUITE 3Loveland, CO 80538-5016
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Organization SubpartYesParent: Banner Health
Authorized OfficialDennis LarawayCfo · (602) 747-4000
Enumeration DateAugust 19, 2008
Last NPPES UpdateDecember 22, 2021
NPPES CertifiedDecember 22, 2021
NPI 1063669208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1907 BOISE AVE, Loveland, CO 80538

Other Identifiers 1

Medicaid16158717CO

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
1907 BOISE AVE
LOVELAND, CO 80538
Dermatology (MOHS-Micrographic Surgery)
1907 BOISE AVE
LOVELAND, CO 80538
Chiropractor
1907 BOISE AVE, SUITE #1
LOVELAND, CO 80538
Specialist
1907 BOISE AVE, SUITE 2
LOVELAND, CO 80538
Dentist (General Practice)
1907 BOISE AVE, SUITE 5
LOVELAND, CO 80538
Dentist (General Practice)
1907 BOISE AVE, SUITE 5
LOVELAND, CO 80538
Urology
1907 BOISE AVE
LOVELAND, CO 80538
Clinic/Center (Multi-Specialty)
1907 BOISE AVE, STE 3
LOVELAND, CO 80538

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ncmc Specialty Clinic's NPI number?

The NPI number for Ncmc Specialty Clinic is 1063669208. It was assigned to this organization in the NPPES registry on August 19, 2008.

Where is Ncmc Specialty Clinic located?

Ncmc Specialty Clinic is located at 1907 Boise Ave Suite 3, Loveland, CO 80538. The listed phone number is (970) 378-4676.

What is Ncmc Specialty Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Ncmc Specialty Clinic was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.