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BANNER URGENT CARE COLORADO NPI 1679055438


NPI Information

NPI: 1679055438
Provider Name: BANNER URGENT CARE COLORADO

Other Name: BANNER URGENT CARE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 06D2141212

Address:
2015 35TH AVE
GREELEY, CO
ZIP 80634
Phone: (970) 810-4155
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BANNER URGENT CARE COLORADO is an urgent care clinic center in Greeley, CO. BANNER URGENT CARE COLORADO NPI is 1679055438. The provider is registered as an organization entity type.
The provider Other Name Is Banner Urgent Care.

The provider's business location address is:

2015 35TH AVE
GREELEY, CO
ZIP 80634-911
Phone: (970) 810-4155
Fax: (970) 810-4151

The provider's authorized official is Dennis Laraway .
The authorized official title is Cfo and has the following contact phone number (602) 747-4000.

The CLIA number assigned to this NPI record is 06D2141212 - other - urgent care clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2018 and was last updated on 12/30/2021.


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
1261QU0200XClinic/CenterUrgent CareYes

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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