BANNER HEALTH PHYSICIANS COLORADO LLC
NPI 1689289084
Clinic/Center - Multi-Specialty in Wheatland, WY

Active since September 11, 2020
201 14TH ST, WHEATLAND, WY 82201(307) 322-3636 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 17, 2026, Sep 11, 2020 (2 updates tracked since 2020).

  • 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 Wheatland, Wyoming operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1689289084 assigned on September 2020. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated April 2026. The authorized official of this NPI record is Shiva Birdi (Ceo)

NPI
1689289084 Verify this NPI
Provider Name
BANNER HEALTH PHYSICIANS COLORADO LLC
Entity Type
Organization
Location Address
201 14TH ST WHEATLAND, WY 82201
Location Phone
(307) 322-3636
Mailing Address
2901 N CENTRAL AVE STE 160 PHOENIX, AZ 85012
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-11-2020
Last Update Date
04-17-2026
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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

SHIVA BIRDI

Authorized Official Title
CEO
Authorized Official Phone
(602) 747-4000

Reviews for BANNER HEALTH PHYSICIANS COLORADO LLC

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Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Emergency Medicine
201 14TH ST
WHEATLAND, WY 82201
Emergency Medicine (Emergency Medical Services)
201 14TH ST, EMERGENCY DEPARTMENT
WHEATLAND, WY 82201
Clinic/Center (Radiology)
201 14TH ST
WHEATLAND, WY 82201
Clinic/Center (Multi-Specialty)
201 14TH ST
WHEATLAND, WY 82201
Dietitian, Registered
201 14TH ST
WHEATLAND, WY 82201
Clinic/Center (Rural Health)
201 14TH ST
WHEATLAND, WY 82201
Skilled Nursing Facility
201 14TH ST
WHEATLAND, WY 82201
Clinic/Center (Multi-Specialty)
201 14TH ST
WHEATLAND, WY 82201
Clinic/Center (Multi-Specialty)
201 14TH ST
WHEATLAND, WY 82201
Clinic/Center (Multi-Specialty)
201 14TH ST
WHEATLAND, WY 82201
Nurse Practitioner (Family)
201 14TH ST
WHEATLAND, WY 82201
Medicare Defined Swing Bed Unit
201 14TH ST
WHEATLAND, WY 82201
Hospitalist
201 14TH ST
WHEATLAND, WY 82201
Ambulance
201 14TH ST
WHEATLAND, WY 82201
Clinic/Center (Multi-Specialty)
201 14TH ST
WHEATLAND, WY 82201
Registered Nurse
201 14TH ST
WHEATLAND, WY 82201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689289084, enumerated as an "organization" on September 11, 2020.

The provider is located at 201 14TH ST WHEATLAND, WY 82201 and the phone number is (307) 322-3636.

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