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: July 19, 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
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

Other Identifiers 1

MedicaidPENDINGCO

Other Providers at the Same Location NPPES 8

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

Physical Medicine & Rehabilitation
1517 16TH AVENUE CT
GREELEY, CO 80631
Clinic/Center (Multi-Specialty)
1517 16TH AVENUE CT
GREELEY, CO 80631
Clinic/Center (Occupational Medicine)
1517 16TH AVENUE CT
GREELEY, CO 80631
Specialist
1517 16TH AVENUE CT
GREELEY, CO 80631
Specialist
1517 16TH AVENUE CT
GREELEY, CO 80631
Physical Therapist
1517 16TH AVENUE CT
GREELEY, CO 80631
General Acute Care Hospital (Critical Access)
1517 16TH AVENUE CT
GREELEY, CO 80631
Specialist
1517 16TH AVENUE CT
GREELEY, CO 80631

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619116159, enumerated as an "organization" on February 06, 2009.

The provider is located at 1517 16TH AVENUE CT GREELEY, CO 80631 and the phone number is (970) 392-2496.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.