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BANNER HEALTH PHYSICIANS COLORADO LLC
NPI 1558601278
Clinic/Center - Multi-Specialty in Worland, WY

Active since February 15, 2013CLIA 53D2198018 · Waiver
400 S 15TH ST, WORLAND, WY 82401(307) 347-6958 Get Directions Write a Review

NPPES record last updated: March 3, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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 1558601278) is a healthcare organization registered as a multi-specialty in Worland, Wyoming and active in the NPI registry since February 2013. The organization holds a CLIA Waiver certificate valid through October 28, 2026 and lists Dennis Laraway, Cfo, as its authorized official.

NPPES Registry Identity

NPI1558601278
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBANNER HEALTH PHYSICIANS COLORADO LLC
Location Address400 S 15TH STWorland, WY 82401-3531
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Phone(307) 347-6958
Organization SubpartYesParent: Banner Medical Group Colorado
Authorized OfficialDennis LarawayCfo · (602) 747-4000
Enumeration DateFebruary 15, 2013
Last NPPES UpdateMarch 3, 2022
NPPES CertifiedMarch 3, 2022
✔ NPI 1558601278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
400 S 15TH ST, Worland, WY 82401
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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 53D2198018

Banner Health Physicians West LLC · Worland, WY
Active · expires Oct 28, 2026
CLIA Number53D2198018
Laboratory TypePhysician Office
Certificate Effective DateOctober 29, 2024
Certificate Expiration DateOctober 28, 2026
Laboratory DirectorSameh G. Abuerreish
Laboratory Phone(307) 347-6937
Laboratory LocationBanner Health Physicians West LLC400 S 15th St, Ste 101, Worland, WY 82401
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

DR. JAMES MICHAEL POORE PHYSICAL THERAPIST
Physical Therapist
400 S 15TH ST
WORLAND, WY 82401
Washakie County (307) 347-6952
MRS. ANITA CHRISTINE CARVER OTR/L
Specialist
400 S 15TH ST
WORLAND, WY 82401
Washakie County (307) 347-6952
JEFFREY SCOTT WYATT DPT
Physical Therapist
400 S 15TH ST
WORLAND, WY 82401
Washakie County (307) 347-6952
JEANNA LAJOIEU GROSCH PTA
Physical Therapy Assistant
400 S 15TH ST
WORLAND, WY 82401
Washakie County (307) 347-6952
RICHARD RUSH M.D.
Emergency Medicine
400 S 15TH ST
WORLAND, WY 82401
Washakie County (307) 347-3221
DR. MICHELLE CAROL HAMILTON PHARM.D
Pharmacist
400 S 15TH ST
WORLAND, WY 82401
Washakie County (307) 347-6972
YELLOWSTONE UROLOGY PLLC
Urology
400 S 15TH ST
WORLAND, WY 82401
Washakie County (307) 347-6901
BANNER PROFESSIONAL SERVICES
Clinic/Center (Health Service)
400 S 15TH ST
WORLAND, WY 82401
Washakie County (307) 347-3221

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 Health Physicians Colorado LLC's NPI number?

The NPI number for Banner Health Physicians Colorado LLC is 1558601278. It was assigned to this organization in the NPPES registry on February 15, 2013.

Where is Banner Health Physicians Colorado LLC located?

Banner Health Physicians Colorado LLC is located at 400 S 15th St, Worland, WY 82401. The listed phone number is (307) 347-6958.

What is Banner Health Physicians Colorado LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Banner Health Physicians Colorado LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 53D2198018) is associated with this NPI, valid through October 28, 2026. 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 Health Physicians Colorado LLC was last updated on March 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.