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BANNER HEALTH PHYSICIANS COLORADO LLC
NPI 1265793970
Clinic/Center - Multi-Specialty in Loveland, CO

Active since May 30, 2012
1900 BOISE AVE STE 210, LOVELAND, CO 80538(970) 635-4189 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Multi-Specialty

About BANNER HEALTH PHYSICIANS COLORADO LLC

This page provides the complete NPI Profile along with additional information for Banner Health Physicians Colorado Llc, a provider established in Loveland, Colorado operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1265793970 assigned on May 2012. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Dennis Laraway (Cfo)

NPI
1265793970 Verify this NPI
Provider Name
BANNER HEALTH PHYSICIANS COLORADO LLC
Entity Type
Organization
Location Address
1900 BOISE AVE STE 210 LOVELAND, CO 80538
Location Phone
(970) 635-4189
Mailing Address
2901 N CENTRAL AVE STE 160 PHOENIX, AZ 85012
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-30-2012
Last Update Date
03-08-2022
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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

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DENNIS LARAWAY

Authorized Official Title
CFO
Authorized Official Phone
(602) 747-4000

Reviews for BANNER HEALTH PHYSICIANS COLORADO LLC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

MMC SPECIALTY CLINIC
Clinic/Center (Multi-Specialty)
1900 BOISE AVE STE 210
LOVELAND, CO 80538
Larimer County (970) 635-4059

Frequently Asked Questions

What is BANNER HEALTH PHYSICIANS COLORADO LLC's NPI number?

The NPI number assigned to this healthcare provider is 1265793970, enumerated as an "organization" on May 30, 2012.

Where is the provider located?

The provider is located at 1900 BOISE AVE STE 210 LOVELAND, CO 80538 and the phone number is (970) 635-4189.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.