BANNER HEALTH PHYSICIANS COLORADO LLC
NPI 1891069019
Clinic/Center - Multi-Specialty in Julesburg, CO

NPI Status: Active since March 06, 2012

Contact Information

900 CEDAR ST
JULESBURG, CO
ZIP 80737
Phone: (970) 522-2264

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • CLIA Number: 06D2304642
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-15-2026

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 Julesburg, Colorado operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1891069019 assigned on March 2012. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Dennis Dahlen (Sr Vp Finance)

NPI
1891069019
Provider Name
BANNER HEALTH PHYSICIANS COLORADO LLC
Entity Type
Organization
Location Address
900 CEDAR ST JULESBURG, CO 80737
Location Phone
(970) 522-2264
Mailing Address
1441 N 12TH ST PHOENIX, AZ 85006
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-06-2012
Last Update Date
11-01-2013
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Location Map

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

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1282N00000XHospitals

General Acute Care Hospital

 

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 DAHLEN

Authorized Official Title
SR VP FINANCE
Authorized Official Phone
(602) 747-4000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
06D2304642
Facility Type
Physician Office
Certificate Effective Date
May 16, 2024
Certificate Expiration Date
May 15, 2026
Laboratory Director
BARBARA BERG
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Banner Health Physicians Colorado Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1891069019, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
1
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 0 → 0 9 → 18 → 9 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 8 + 1 + 0 + 6 + 1 + 8 + 0 + 2 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1891069019.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

General Acute Care Hospital (Critical Access)
900 CEDAR ST
JULESBURG, CO 80737
Home Health
900 CEDAR ST
JULESBURG, CO 80737
Clinic/Center
900 CEDAR ST
JULESBURG, CO 80737
Clinic/Center
900 CEDAR ST
JULESBURG, CO 80737
Clinic/Center (Multi-Specialty)
900 CEDAR ST
JULESBURG, CO 80737
Family Medicine
900 CEDAR ST
JULESBURG, CO 80737
Nurse Practitioner (Family)
900 CEDAR ST
JULESBURG, CO 80737
Family Medicine
900 CEDAR ST
JULESBURG, CO 80737
Medicare Defined Swing Bed Unit
900 CEDAR ST
JULESBURG, CO 80737
Home Health
900 CEDAR ST
JULESBURG, CO 80737
Hospice Care, Community Based
900 CEDAR ST
JULESBURG, CO 80737
Family Medicine
900 CEDAR ST
JULESBURG, CO 80737
Nurse Practitioner (Family)
900 CEDAR ST
JULESBURG, CO 80737
Family Medicine
900 CEDAR ST
JULESBURG, CO 80737
Pediatrics (Pediatric Cardiology)
900 CEDAR ST
JULESBURG, CO 80737
Physician Assistant
900 CEDAR ST
JULESBURG, CO 80737
Physician Assistant
900 CEDAR ST
JULESBURG, CO 80737
Family Medicine
900 CEDAR ST
JULESBURG, CO 80737
Pediatrics (Pediatric Cardiology)
900 CEDAR ST
JULESBURG, CO 80737
Internal Medicine (Cardiovascular Disease)
900 CEDAR ST
JULESBURG, CO 80737

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891069019, enumerated as an "organization" on March 06, 2012.

The provider is located at 900 CEDAR ST JULESBURG, CO 80737 and the phone number is (970) 522-2264.

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