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NCMC SPECIALTY CLINIC
NPI 1619116159
Clinic/Center - Multi-Specialty in Greeley, CO

Active since February 06, 2009
1517 16TH AVENUE CT, GREELEY, CO 80631(970) 392-2496 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ncmc Specialty Clinic NPPES

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

NCMC SPECIALTY CLINIC (NPI 1619116159) is a healthcare organization registered as a multi-specialty in Greeley, Colorado and active in the NPI registry since February 2009. The organization lists Dennis Laraway, Cfo, as its authorized official.

NPPES Registry Identity

NPI1619116159
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameNCMC SPECIALTY CLINIC
Location Address1517 16TH AVENUE CTGreeley, CO 80631-4574
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Phone(970) 392-2496
Organization SubpartYesParent: Banner Health
Authorized OfficialDennis LarawayCfo · (602) 747-4000
Enumeration DateFebruary 6, 2009
Last NPPES UpdateDecember 22, 2021
NPPES CertifiedDecember 22, 2021
✔ NPI 1619116159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1517 16TH AVENUE CT, Greeley, CO 80631
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Other Identifiers 1

MedicaidPENDINGCO

Other Providers at the Same Location NPPES 7

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

CAROL W RICH
Specialist
1517 16TH AVENUE CT
GREELEY, CO 80631
Weld County (970) 204-0516
TARISSA ZEIGLER DPT
Physical Therapist
1517 16TH AVENUE CT
GREELEY, CO 80631
Weld County (970) 810-6900
WENDY CASTILLO LMT
Specialist
1517 16TH AVENUE CT
GREELEY, CO 80631
Weld County (970) 313-3394
BANNER GREELEY SPECIALISTS
Clinic/Center (Multi-Specialty)
1517 16TH AVENUE CT
GREELEY, CO 80631
Weld County (970) 350-5612
SARAH GERSHON
Specialist
1517 16TH AVENUE CT
GREELEY, CO 80631
Weld County (970) 204-0516
BANNER OCCUPATIONAL HEALTH COLORADO LLC
Clinic/Center (Occupational Medicine)
1517 16TH AVENUE CT
GREELEY, CO 80631
Weld County (970) 350-6810
GREGORY REICHHARDT M.D.
Physical Medicine & Rehabilitation
1517 16TH AVENUE CT
GREELEY, CO 80631
Weld County (970) 392-2490

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 Ncmc Specialty Clinic's NPI number?

The NPI number for Ncmc Specialty Clinic is 1619116159. It was assigned to this organization in the NPPES registry on February 6, 2009.

Where is Ncmc Specialty Clinic located?

Ncmc Specialty Clinic is located at 1517 16th Avenue Ct, Greeley, CO 80631. The listed phone number is (970) 392-2496.

What is Ncmc Specialty Clinic's specialty?

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

When was this NPI record last updated?

The NPPES record for Ncmc Specialty Clinic was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.