BANNER HEALTH PHYSICIANS COLORADO LLC NPI 1730598749

NPI Information

NPI: 1730598749
Provider Name: BANNER HEALTH PHYSICIANS COLORADO LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 06D2085659

Address:
2555 E 13TH ST STE 230
LOVELAND, CO
ZIP 80537
Phone: (970) 203-2475
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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 1730598749. The provider is registered as an organization entity type.

The provider's business location address is:

2555 E 13TH ST STE 230
LOVELAND, CO
ZIP 80537-133
Phone: (970) 203-2475
Fax: (970) 203-2476

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 06D2085659 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/5/2014 and was last updated on 3/8/2022.

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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