1. Home
  2. Directory
  3. Wyoming
  4. Worland
  5. Clinic Center
  6. NPI Profile

BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC
NPI 1629316641
Clinic/Center - Multi-Specialty in Worland, WY

Active since January 25, 2013
400 S 15TH ST, WORLAND, WY 82401(307) 347-6958 Get Directions Write a Review

NPPES record last updated: January 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Banner Hospital Based Physicians Colorado Llc NPPES

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

BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC (NPI 1629316641) is a healthcare organization registered as a multi-specialty in Worland, Wyoming and active in the NPI registry since January 2013. The organization lists Dennis Laraway, Cfo, as its authorized official.

NPPES Registry Identity

NPI1629316641
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBANNER HOSPITAL BASED 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 DateJanuary 25, 2013
Last NPPES UpdateJanuary 28, 2022
NPPES CertifiedJanuary 28, 2022
✔ NPI 1629316641 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
Open in Google Maps ↗

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.

WASHAKIE MEDICAL CENTER
General Acute Care Hospital (Critical Access)
400 S 15TH ST
WORLAND, WY 82401
Washakie County (307) 347-6952
ADAM JACOB COLTON DO
Family Medicine
400 S 15TH ST
WORLAND, WY 82401
Washakie County (307) 347-3321
WASHAKIE MEDICAL CENTER
General Acute Care Hospital (Critical Access)
400 S 15TH ST
WORLAND, WY 82401
Washakie County (307) 347-3221
JEFFREY SCOTT WYATT DPT
Physical Therapist
400 S 15TH ST
WORLAND, WY 82401
Washakie County (307) 347-6952
WASHAKIE MEDICAL CENTER
Medicare Defined Swing Bed Unit
400 S 15TH ST
WORLAND, WY 82401
Washakie County (307) 347-3221
BANNER PROFESSIONAL SERVICES
Clinic/Center (Health Service)
400 S 15TH ST
WORLAND, WY 82401
Washakie County (307) 347-3221
JEANNA LAJOIEU GROSCH PTA
Physical Therapy Assistant
400 S 15TH ST
WORLAND, WY 82401
Washakie County (307) 347-6952
DR. MICHELLE CAROL HAMILTON PHARM.D
Pharmacist
400 S 15TH ST
WORLAND, WY 82401
Washakie County (307) 347-6972

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 Hospital Based Physicians Colorado LLC's NPI number?

The NPI number for Banner Hospital Based Physicians Colorado LLC is 1629316641. It was assigned to this organization in the NPPES registry on January 25, 2013.

Where is Banner Hospital Based Physicians Colorado LLC located?

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

What is Banner Hospital Based Physicians Colorado LLC'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 Banner Hospital Based Physicians Colorado LLC was last updated on January 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.