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BANNER MOUNTAIN VISTA ORTHOPAEDIC MEDICAL CLINIC
NPI 1639434954
Clinic/Center - Multi-Specialty in Brush, CO

Active since July 12, 2012
2400 EDISON ST, BRUSH, CO 80723(970) 348-0020(970) 348-0055 Get Directions Write a Review

NPPES record last updated: July 12, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Banner Mountain Vista Orthopaedic Medical Clinic NPPES

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

BANNER MOUNTAIN VISTA ORTHOPAEDIC MEDICAL CLINIC (NPI 1639434954) is a healthcare organization registered as a multi-specialty in Brush, Colorado and active in the NPI registry since July 2012. The organization lists Dennis Dahlen, Sr Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1639434954
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBANNER MOUNTAIN VISTA ORTHOPAEDIC MEDICAL CLINIC
Location Address2400 EDISON STBrush, CO 80723-1640
Mailing Address1441 N 12th StPhoenix, AZ 85006-2837
Phone(970) 348-0020
Fax(970) 348-0055
Organization SubpartYesParent: Banner Health
Authorized OfficialDennis DahlenSr Vp Finance · (602) 747-4000
Enumeration DateJuly 12, 2012
✔ NPI 1639434954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
2400 EDISON ST, Brush, CO 80723
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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. NED REED NIXON JR. MD
Family Medicine
2400 EDISON ST
BRUSH, CO 80723
Morgan County (970) 842-6200
EAST MORGAN COUNTY HOSPITAL
Clinical Medical Laboratory
2400 EDISON ST
BRUSH, CO 80723
Morgan County (970) 842-6200
KIMBERLY J WEISSER PA
Physician Assistant
2400 EDISON ST
BRUSH, CO 80723
Morgan County (970) 842-6200
SCOTT S JOHNSON M.D.
Emergency Medicine
2400 EDISON ST
BRUSH, CO 80723
Morgan County (970) 842-6200
SHERILYN L MCBRIDE R.D.
Dietitian, Registered
2400 EDISON ST
BRUSH, CO 80723
Morgan County (970) 842-6200
DR. MICHAL LEE TAYLOR M.D.
Orthopaedic Surgery (Sports Medicine)
2400 EDISON ST
BRUSH, CO 80723
Morgan County (970) 842-6720
AMANDA MARIE DREW FNP-C
Nurse Practitioner (Family)
2400 EDISON ST
BRUSH, CO 80723
Morgan County (970) 842-6262
RURAL PHYSICIANS GROUP - PANNU PLLC
Hospitalist
2400 EDISON ST
BRUSH, CO 80723
Morgan County (303) 390-1924

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 Mountain Vista Orthopaedic Medical Clinic's NPI number?

The NPI number for Banner Mountain Vista Orthopaedic Medical Clinic is 1639434954. It was assigned to this organization in the NPPES registry on July 12, 2012.

Where is Banner Mountain Vista Orthopaedic Medical Clinic located?

Banner Mountain Vista Orthopaedic Medical Clinic is located at 2400 Edison St, Brush, CO 80723. The listed phone number is (970) 348-0020.

What is Banner Mountain Vista Orthopaedic Medical 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 Banner Mountain Vista Orthopaedic Medical Clinic was last updated on July 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.