BANNER HEALTH PHYSICIANS COLORADO LLC – NPI #1306114475
Clinic/Center

BANNER HEALTH PHYSICIANS COLORADO LLC is an AHC clinic located in GREELEY, CO. NPPES has assigned the NPI number 1306114475 to BANNER HEALTH PHYSICIANS COLORADO LLC on December 05, 2011. 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 4 years ago on Mar 08, 2022. 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 HEALTH PHYSICIANS COLORADO LLC below.

NPI Profile for
BANNER HEALTH PHYSICIANS COLORADO LLC

NPI Number
1306114475
Enumeration Date

(more than 14 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 HEALTH PHYSICIANS COLORADO LLC
Primary location
1800 15TH ST STE 300
GREELEY, CO 80631-4562
Phone: (970) 392-2344 Fax:
Mailing address
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone: Fax:
Organization Subpart
Yes - BANNER HEALTH PHYSICIANS COLORADO LLC is subpart of another organization.
Authorized Official
DENNIS LARAWAY
CFO
Phone: (602) 747-4000
Updated
Certification Date
Mar 08, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.