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BANNER OCCUPATIONAL HEALTH COLORADO LLC
NPI 1669724134
Clinic/Center - Occupational Medicine in Greeley, CO

Active since October 09, 2012CLIA 06D2271052 · Waiver
1517 16TH AVENUE CT, GREELEY, CO 80631(970) 350-6810 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Banner Occupational Health Colorado Llc NPPES

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

BANNER OCCUPATIONAL HEALTH COLORADO LLC (NPI 1669724134) is a healthcare organization registered as an occupational medicine in Greeley, Colorado and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through October 25, 2026, maintains 3 additional practice locations, and lists Patrick Penrose, Vp, as its authorized official.

NPPES Registry Identity

NPI1669724134
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NameBANNER OCCUPATIONAL HEALTH COLORADO LLC
Location Address1517 16TH AVENUE CTGreeley, CO 80631-4574
Mailing Address1441 N 12th StPhoenix, AZ 85006-2837
Phone(970) 350-6810
Organization SubpartYesParent: Banner Medical Group Colorado
Authorized OfficialPatrick PenroseVp · (602) 747-4000
Enumeration DateOctober 9, 2012
Last NPPES UpdateApril 17, 2026
NPPES CertifiedApril 17, 2026
✔ NPI 1669724134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities
Taxonomy Code261QX0100X
1517 16TH AVENUE CT, Greeley, CO 80631
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Secondary Practice Locations 3

Location 13617 S College Ave Ste CFort Collins, CO 80525-3009 · Phone (970) 821-3500
Location 22015 35th AveGreeley, CO 80634-3911 · Phone (970) 810-4155
Location 31703 E 18th St Ste 4Loveland, CO 80538-4283 · Phone (970) 820-4580

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2271052

Banner Occupational Health Colorado, LLC · Fort Collins, CO
Active · expires Oct 25, 2026
CLIA Number06D2271052
Laboratory TypePhysician Office
Certificate Effective DateOctober 26, 2024
Certificate Expiration DateOctober 25, 2026
Laboratory DirectorDr. Ron Teichman
Laboratory Phone(970) 821-3500
Laboratory LocationBanner Occupational Health Colorado, LLC3617 S College Ave, Suite C, Fort Collins, CO 80525
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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
NCMC SPECIALTY CLINIC
Clinic/Center (Multi-Specialty)
1517 16TH AVENUE CT
GREELEY, CO 80631
Weld County (970) 392-2496
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 Banner Occupational Health Colorado LLC's NPI number?

The NPI number for Banner Occupational Health Colorado LLC is 1669724134. It was assigned to this organization in the NPPES registry on October 9, 2012.

Where is Banner Occupational Health Colorado LLC located?

Banner Occupational Health Colorado LLC is located at 1517 16th Avenue Ct, Greeley, CO 80631. The listed phone number is (970) 350-6810.

What is Banner Occupational Health Colorado LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Occupational Medicine, with taxonomy code 261QX0100X.

Does Banner Occupational Health Colorado LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2271052) is associated with this NPI, valid through October 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Banner Occupational Health Colorado LLC was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.