BANNER FORT COLLINS PCP LLC
NPI 1376333567
Clinic/Center - Primary Care in Fort Collins, CO
- Organization
- Clinic/Center
- Primary Care
- CLIA Number: 06D2327690
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-27-2027
About BANNER FORT COLLINS PCP LLC
This page provides the complete NPI Profile along with additional information for Banner Fort Collins Pcp Llc, a primary care provider established in Fort Collins, Colorado operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1376333567 assigned on May 2025. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Shiva Birdi (Ceo)
- NPI
- 1376333567 Verify this NPI
- Provider Name
- BANNER FORT COLLINS PCP LLC
- Entity Type
- Organization
- Location Address
- 2025 BIGHORN RD FORT COLLINS, CO 80525
- Location Phone
- (970) 449-0082
- Mailing Address
- 2901 N CENTRAL AVE STE 160 PHOENIX, AZ 85012
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-09-2025
- Last Update Date
- 07-30-2025
- Code Navigator
A primary care provider (PCP) like Banner Fort Collins Pcp Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
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 Primary Care
- Taxonomy Code
- 261QP2300X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 06D2327690
- Facility Type
- Physician Office
- Certificate Effective Date
- July 28, 2025
- Certificate Expiration Date
- July 27, 2027
- Laboratory Director
- COLTON REDDING
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Banner Fort Collins Pcp Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Other Providers at the Same Location
The following 17 providers are registered at the same or a nearby location.
FORT COLLINS, CO 80525
FORT COLLINS, CO 80525
FORT COLLINS, CO 80525
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376333567, enumerated as an "organization" on May 09, 2025.
The provider is located at 2025 BIGHORN RD FORT COLLINS, CO 80525 and the phone number is (970) 449-0082.
Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.
