BANNER MEDICAL GROUP GREELEY
NPI 1063794170
Clinic/Center - Multi-Specialty in Greeley, CO
NPI Status: Active since September 14, 2011
Contact Information
6801 W 20TH ST
SUITE 201
GREELEY, CO
ZIP 80634
Phone: (970) 350-5828
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 06D0516726
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-31-2026
About BANNER MEDICAL GROUP GREELEY
This page provides the complete NPI Profile along with additional information for Banner Medical Group Greeley, a provider established in Greeley, Colorado operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1063794170 assigned on September 2011. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Dennis E Dahlen (Sr Vp Finance)
- NPI
- 1063794170
- Provider Name
- BANNER MEDICAL GROUP GREELEY
- Entity Type
- Organization
- Location Address
- 6801 W 20TH ST SUITE 201 GREELEY, CO 80634
- Location Phone
- (970) 350-5828
- Mailing Address
- 1441 N 12TH ST PHOENIX, AZ 85006
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-14-2011
- Last Update Date
- 09-14-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 06D0516726
- Facility Type
- Physician Office
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- DR. JAMES SUMMERS
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Banner Medical Group Greeley in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1063794170, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 14 providers are registered at the same or a nearby location.
GREELEY, CO 80634
GREELEY, CO 80634
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063794170, enumerated as an "organization" on September 14, 2011.
The provider is located at 6801 W 20TH ST SUITE 201 GREELEY, CO 80634 and the phone number is (970) 350-5828.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
