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BANNER MEDICAL GROUP GREELEY LLC
NPI 1104070333
Clinic/Center - Multi-Specialty in Greeley, CO

Active since November 14, 2008
5623 W 19TH ST, GREELEY, CO 80634(970) 353-9011 Get Directions Write a Review

NPPES record last updated: September 20, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Banner Medical Group Greeley Llc NPPES

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

BANNER MEDICAL GROUP GREELEY LLC (NPI 1104070333) is a healthcare organization registered as a multi-specialty in Greeley, Colorado and active in the NPI registry since November 2008. The organization lists Dennis Dahlen, Sr Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1104070333
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBANNER MEDICAL GROUP GREELEY LLC
Location Address5623 W 19TH STGreeley, CO 80634-2901
Mailing Address1441 N 12th StPhoenix, AZ 85006-2837
Phone(970) 353-9011
Organization SubpartNo
Authorized OfficialDennis DahlenSr Vp Finance · (602) 747-4000
Enumeration DateNovember 14, 2008
Last NPPES UpdateSeptember 20, 2010
✔ NPI 1104070333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
5623 W 19TH ST, Greeley, CO 80634
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Other Identifiers 1

Medicaid11658541CO

Other Providers at the Same Location NPPES 5

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

JACQUELINE S BEARDEN M.D.
Family Medicine
5623 W 19TH ST
GREELEY, CO 80634
Weld County (970) 353-9011
WESTLAKE FAMILY PHYSICIANS, PC
Clinic/Center (Primary Care)
5623 W 19TH ST
GREELEY, CO 80634
Weld County (970) 353-9011
JANIS R MCCALL M.D.
Family Medicine
5623 W 19TH ST
GREELEY, CO 80634
Weld County (970) 353-9011
BANNER HEALTH PHYSICIANS COLORADO LLC
Clinic/Center (Multi-Specialty)
5623 W 19TH ST
GREELEY, CO 80634
Weld County (970) 353-9011
DAVID CARL PULS D.O.
Family Medicine
5623 W 19TH ST
GREELEY, CO 80634
Weld County (970) 353-9011

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 Banner Medical Group Greeley LLC's NPI number?

The NPI number for Banner Medical Group Greeley LLC is 1104070333. It was assigned to this organization in the NPPES registry on November 14, 2008.

Where is Banner Medical Group Greeley LLC located?

Banner Medical Group Greeley LLC is located at 5623 W 19th St, Greeley, CO 80634. The listed phone number is (970) 353-9011.

What is Banner Medical Group Greeley LLC'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 Banner Medical Group Greeley LLC was last updated on September 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.