BANNER HEALTH PHYSICIANS COLORADO LLC NPI 1396009635

NPI Information

NPI: 1396009635
Provider Name: BANNER HEALTH PHYSICIANS COLORADO LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 06D0902937

Address:
2701 MADISON SQUARE DR
LOVELAND, CO
ZIP 80538
Phone: (970) 820-6660
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BANNER HEALTH PHYSICIANS COLORADO LLC is a multi-specialty clinic center in Loveland, CO. BANNER HEALTH PHYSICIANS COLORADO LLC NPI is 1396009635. The provider is registered as an organization entity type.

The provider's business location address is:

2701 MADISON SQUARE DR
LOVELAND, CO
ZIP 80538-386
Phone: (970) 820-6660
Fax: (970) 820-1099

The provider's authorized official is Shiva Birdi .
The authorized official title is Ceo and has the following contact phone number (602) 747-4000.

The CLIA number assigned to this NPI record is 06D0902937 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/2/2012 and was last updated on 5/31/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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: 5/5/2024

NPI Synchronization or Removal

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