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BANNER HEALTH PHYSICIANS WEST LLC
NPI 1689301103
Clinic/Center - Multi-Specialty in Powell, WY

Active since August 04, 2022
777 AVENUE H, POWELL, WY 82435(307) 347-5810(307) 347-5808 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Banner Health Physicians West Llc NPPES

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

BANNER HEALTH PHYSICIANS WEST LLC (NPI 1689301103) is a healthcare organization registered as a multi-specialty in Powell, Wyoming and active in the NPI registry since August 2022. The organization lists Shiva Birdi, Ceo Bmg, as its authorized official.

NPPES Registry Identity

NPI1689301103
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBANNER HEALTH PHYSICIANS WEST LLC
Location Address777 AVENUE HPowell, WY 82435-2260
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Phone(307) 347-5810
Fax(307) 347-5808
Organization SubpartYesParent: Banner Medical Group Colorado
Authorized OfficialShiva BirdiCeo Bmg · (602) 747-4000
Enumeration DateAugust 4, 2022
NPPES CertifiedAugust 4, 2022
✔ NPI 1689301103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
777 AVENUE H, Powell, WY 82435
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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.

TARI ANN MCADAM PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
777 AVENUE H
POWELL, WY 82435
Park County (307) 754-2267
DR. BRADLEY J NORTH DO
Emergency Medicine
777 AVENUE H
POWELL, WY 82435
Park County (307) 754-2267
ROCKY MOUNTAIN RADIOLOGY SERVICES, LLC
Radiology (Diagnostic Radiology)
777 AVENUE H
POWELL, WY 82435
Park County (307) 754-2267
CHRIS B HOELLWARTH CRNA
Nurse Anesthetist, Certified Registered
777 AVENUE H
POWELL, WY 82435
Park County (307) 754-2267
MRS. JESSICA LEE MATHEWS COMMUNITY PARAMEDIC
Registered Nurse
777 AVENUE H
POWELL, WY 82435
Park County (307) 754-1175
MARY NEAL
Dietitian, Registered
777 AVENUE H
POWELL, WY 82435
Park County (307) 754-2267
BRETT SOLOAI
Occupational Therapist (Hand)
777 AVENUE H
POWELL, WY 82435
Park County (307) 754-2267
LEXIE HILL DNP, FNP-BC
Nurse Practitioner (Family)
777 AVENUE H
POWELL, WY 82435
Park County (307) 754-7257

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 Health Physicians West LLC's NPI number?

The NPI number for Banner Health Physicians West LLC is 1689301103. It was assigned to this organization in the NPPES registry on August 4, 2022.

Where is Banner Health Physicians West LLC located?

Banner Health Physicians West LLC is located at 777 Avenue H, Powell, WY 82435. The listed phone number is (307) 347-5810.

What is Banner Health Physicians West 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 Health Physicians West LLC was last updated on August 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.