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BANNER HEALTH PHYSICIANS COLORADO LLC NPI 1831676279


NPI Information

NPI: 1831676279
Provider Name: BANNER HEALTH PHYSICIANS COLORADO LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 06D2152791

Address:
2001 70TH AVE STE 200
GREELEY, CO
ZIP 80634
Phone: (970) 810-3550
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BANNER HEALTH PHYSICIANS COLORADO LLC is a multi-specialty clinic center in Greeley, CO. BANNER HEALTH PHYSICIANS COLORADO LLC NPI is 1831676279. The provider is registered as an organization entity type.

The provider's business location address is:

2001 70TH AVE STE 200
GREELEY, CO
ZIP 80634-613
Phone: (970) 810-3550
Fax: (970) 810-3551

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 06D2152791 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/27/2018 and was last updated on 7/27/2018.


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
1261QM1300XClinic/CenterMulti-SpecialtyYes

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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