BANNER URGENT CARE COLORADO
NPI 1487382867
Clinic/Center - Urgent Care in Fort Collins, CO

Active since August 12, 2022CLIA 06D2146392 · Waiver
110 BOARDWALK DR, FORT COLLINS, CO 80525(970) 821-1500(970) 821-1515 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 9, 2025, Aug 12, 2022 (2 updates tracked since 2022).

About Banner Urgent Care Colorado NPPES

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

BANNER URGENT CARE COLORADO (NPI 1487382867) is a healthcare organization registered as an urgent care in Fort Collins, Colorado and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through March 27, 2028 and lists Patrick Penrose, Avp Ambulatory Services, as its authorized official.

NPPES Registry Identity

NPI1487382867
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameBANNER URGENT CARE COLORADO
Location Address110 BOARDWALK DRFort Collins, CO 80525-3047
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Fax(970) 821-1515
Organization SubpartYesParent: Banner Health
Authorized OfficialPatrick PenroseAvp Ambulatory Services · (602) 747-4000
Enumeration DateAugust 12, 2022
Last NPPES UpdateJuly 9, 20252 updates tracked since enumeration
NPPES CertifiedJuly 9, 2025
NPI 1487382867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
110 BOARDWALK DR, Fort Collins, CO 80525

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2146392

Banner Urgent Care - Colorado, LLC · Fort Collins, CO
Active · expires Mar 27, 2028
CLIA Number06D2146392
Laboratory TypeUrgent Care Clinic
Certificate Effective DateMarch 28, 2026
Certificate Expiration DateMarch 27, 2028
Laboratory DirectorDr. Robert Johns
Laboratory Phone(970) 821-1500
Laboratory LocationBanner Urgent Care - Colorado, LLC110 East Boardwalk, Fort Collins, CO 80525
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
110 BOARDWALK DR
FORT COLLINS, CO 80525
Nurse Practitioner
110 BOARDWALK DR
FORT COLLINS, CO 80525
Nurse Practitioner (Family)
110 BOARDWALK DR
FORT COLLINS, CO 80525
Clinic/Center (Urgent Care)
110 BOARDWALK DR
FORT COLLINS, CO 80525

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 Banner Urgent Care Colorado's NPI number?

The NPI number for Banner Urgent Care Colorado is 1487382867. It was assigned to this organization in the NPPES registry on August 12, 2022.

Where is Banner Urgent Care Colorado located?

Banner Urgent Care Colorado is located at 110 Boardwalk Dr, Fort Collins, CO 80525. The listed phone number is (970) 821-1500.

What is Banner Urgent Care Colorado's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Banner Urgent Care Colorado hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2146392) is associated with this NPI, valid through March 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Banner Urgent Care Colorado was last updated on July 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.