BANNER HEALTH PHYSICIANS COLORADO LLC
NPI 1659632297
Clinic/Center - Multi-Specialty in Loveland, CO

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

Active since May 30, 2012

914 W 6TH ST, LOVELAND, CO 80537(970) 667-3976 Get Directions Write a Review

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

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NPI Profile Information
Primary Taxonomy
Authorized Official
Other Providers Same Location
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Organization
Clinic/Center
Multi-Specialty

About BANNER HEALTH PHYSICIANS COLORADO LLC

This page provides the complete NPI Profile along with additional information for Banner Health Physicians Colorado Llc, a provider established in Loveland, Colorado operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1659632297 assigned on May 2012. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Dennis Laraway (Cfo)

NPI: 1659632297 Verify this NPI
Provider Name: BANNER HEALTH PHYSICIANS COLORADO LLC
Entity Type: Organization
Location Address: 914 W 6TH ST LOVELAND, CO 80537
Location Phone: (970) 667-3976
Mailing Address: 2901 N CENTRAL AVE STE 160 PHOENIX, AZ 85012
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 05-30-2012
Last Update Date: 03-03-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Multi-Specialty
Taxonomy Code: 261QM1300X
Type: Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: DENNIS LARAWAY
Authorized Official Title: CFO
Authorized Official Phone: (602) 747-4000