BANNER GREELEY SPECIALISTS – NPI #1184852386
Clinic/Center

BANNER GREELEY SPECIALISTS is an AHC clinic located in GREELEY, CO. NPPES has assigned the NPI number 1184852386 to BANNER GREELEY SPECIALISTS on June 25, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 17 years ago on Aug 12, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BANNER GREELEY SPECIALISTS below.

NPI Profile for
BANNER GREELEY SPECIALISTS

NPI Number
1184852386
Enumeration Date

(about 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BANNER GREELEY SPECIALISTS
Primary location
1801 16TH ST
GREELEY, CO 80631-5154
Phone: (970) 378-4529 Fax:
Mailing address
1441 N 12TH ST
PHOENIX, AZ 85006-2837
Phone: Fax:
Organization Subpart
Yes - BANNER GREELEY SPECIALISTS is subpart of another organization.
Authorized Official
DENNIS DAHLEN
SR VP FINANCE
Phone: (602) 747-4000
Updated
Identifiers

Identifiers for BANNER GREELEY SPECIALISTS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCO38955067
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.