MMC SPECIALTY CLINIC
NPI 1194753780
Clinic/Center - Multi-Specialty in Loveland, CO

Active since June 30, 2006
1900 BOISE AVE STE 210, LOVELAND, CO 80538(970) 635-4059 Get Directions Write a Review

NPPES record last updated: October 21, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mmc Specialty Clinic NPPES

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

MMC SPECIALTY CLINIC (NPI 1194753780) is a healthcare organization registered as a multi-specialty in Loveland, Colorado and active in the NPI registry since June 2006. The organization lists Dennis Dahlen, Sr Vice President, as its authorized official.

NPPES Registry Identity

NPI1194753780
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameMMC SPECIALTY CLINIC
Location Address1900 BOISE AVE STE 210Loveland, CO 80538-5004
Mailing Address1441 N 12th StPhoenix, AZ 85006-2837
Organization SubpartYesParent: Banner Health
Authorized OfficialDennis DahlenSr Vice President · (602) 747-4000
Enumeration DateJune 30, 2006
Last NPPES UpdateOctober 21, 2007
NPI 1194753780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1900 BOISE AVE STE 210, Loveland, CO 80538

Other Identifiers 2

Medicaid64803031CO
Medicare PINC492318CO

Other Providers at the Same Location NPPES

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

Clinic/Center (Multi-Specialty)
1900 BOISE AVE STE 210
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 Mmc Specialty Clinic's NPI number?

The NPI number for Mmc Specialty Clinic is 1194753780. It was assigned to this organization in the NPPES registry on June 30, 2006.

Where is Mmc Specialty Clinic located?

Mmc Specialty Clinic is located at 1900 Boise Ave Ste 210, Loveland, CO 80538. The listed phone number is (970) 635-4059.

What is Mmc 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 Mmc Specialty Clinic was last updated on October 21, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.