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NCMC SPECIALTY CLINIC
NPI 1104073261
Clinic/Center - Multi-Specialty in Greeley, CO

Active since August 20, 2008
1800 15TH ST, SUITE 310, GREELEY, CO 80631(970) 392-0900 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 1104073261) is a healthcare organization registered as a multi-specialty in Greeley, Colorado and active in the NPI registry since August 2008. The organization lists Dennis Laraway, Cfo, as its authorized official.

NPPES Registry Identity

NPI1104073261
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameNCMC SPECIALTY CLINIC
Location Address1800 15TH ST, SUITE 310Greeley, CO 80631-4500
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Phone(970) 392-0900
Organization SubpartYesParent: Banner Health
Authorized OfficialDennis LarawayCfo · (602) 747-4000
Enumeration DateAugust 20, 2008
Last NPPES UpdateDecember 22, 2021
NPPES CertifiedDecember 22, 2021
✔ NPI 1104073261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1800 15TH ST, Greeley, CO 80631
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Other Identifiers 1

Medicaid38757010CO

Other Providers at the Same Location NPPES 20

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

DR. PHILLIP A ABSTON MD
Pain Medicine (Interventional Pain Medicine)
1800 15TH ST
GREELEY, CO 80631
Weld County (970) 396-2628
ROBERT PETERIS VICKERMAN MD
Surgery
1800 15TH ST, SUITE 210
GREELEY, CO 80631
Weld County (970) 352-8216
NCMC SPECIALTY CLINIC
Clinic/Center (Multi-Specialty)
1800 15TH ST, SUITE 320
GREELEY, CO 80631
Weld County (970) 350-6953
AMBER CIARVELLA PA-C
Physician Assistant
1800 15TH ST, SUITE 300
GREELEY, CO 80631
Weld County (970) 378-4431
DR. KENNETH MAX RICHARDS MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1800 15TH ST, SUITE 340
GREELEY, CO 80631
Weld County (970) 378-4593
SUSAN D CARTER M.D.
Obstetrics & Gynecology (Gynecology)
1800 15TH ST, STE 220
GREELEY, CO 80631
Weld County (970) 353-1335
LAURA S MARINELLO PA
Physician Assistant
1800 15TH ST, SUITE 310
GREELEY, CO 80631
Weld County (970) 392-0900
MR. TODD ROBERT BRUCE PA-C
Physician Assistant (Surgical)
1800 15TH ST, SUITE 340
GREELEY, CO 80631
Weld County (970) 378-4593

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 1104073261. It was assigned to this organization in the NPPES registry on August 20, 2008.

Where is Ncmc Specialty Clinic located?

Ncmc Specialty Clinic is located at 1800 15th St Suite 310, Greeley, CO 80631. The listed phone number is (970) 392-0900.

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.