BANNER HEALTH PHYSICIANS COLORADO LLC
NPI 1306114475
Clinic/Center - Multi-Specialty in Greeley, CO
Active since December 05, 2011
About Banner Health Physicians Colorado Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BANNER HEALTH PHYSICIANS COLORADO LLC (NPI 1306114475) is a healthcare organization registered as a multi-specialty in Greeley, Colorado and active in the NPI registry since December 2011. The organization lists Dennis Laraway, Cfo, as its authorized official.
NPPES Registry Identity
NPI1306114475
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBANNER HEALTH PHYSICIANS COLORADO LLC
Location Address1800 15TH ST STE 300Greeley, CO 80631-4562
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Phone(970) 392-2344
Organization SubpartYesParent: Banner Medical Group
Authorized OfficialDennis LarawayCfo · (602) 747-4000
Enumeration DateDecember 5, 2011
Last NPPES UpdateMarch 8, 2022
NPPES CertifiedMarch 8, 2022
✔ NPI 1306114475 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 STE 300, Greeley, CO 80631
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306114475, enumerated as an "organization" on December 05, 2011.
The provider is located at 1800 15TH ST STE 300 GREELEY, CO 80631 and the phone number is (970) 392-2344.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
