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BANNER OCCUPATIONAL HEALTH NPI 1295978724


NPI Information

NPI: 1295978724
Provider Name: BANNER OCCUPATIONAL HEALTH
Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

CLIA Number: 06D2230304

Address:
1800 15TH ST STE 100B
GREELEY, CO
ZIP 80631
Phone: (970) 350-6810
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BANNER OCCUPATIONAL HEALTH is an occupational medicine clinic center in Greeley, CO. BANNER OCCUPATIONAL HEALTH NPI is 1295978724. The provider is registered as an organization entity type.

The provider's business location address is:

1800 15TH ST STE 100B
GREELEY, CO
ZIP 80631-595
Phone: (970) 350-6810

The provider's authorized official is Dennis E Dahlen .
The authorized official title is Sr Vp Finance and has the following contact phone number (602) 747-4000.

The CLIA number assigned to this NPI record is 06D2230304 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/14/2009 and was last updated on 4/14/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QX0100XClinic/CenterOccupational MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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