BANNER HEALTH PHYSICIANS WEST LLC (NPI# 1295089076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295089076 |
| Entity Type | Organization |
| Organization Name | BANNER HEALTH PHYSICIANS WEST LLC |
| Practice Address |
900 Lincoln Ave Grant NE 69140-3095 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 3083527200 |
| Practice Fax Number | 6083527299 |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-12 |
| Authorized Official Name | DENNIS DAHLEN (SR VP FINANCE) |
| Authorized Official Telephone | 6027474000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BANNER MEDICAL GROUP COLORADO |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073516 | Banner Health Physicians West LLC | Clinic/Center | 201 14th St Ste B100, Wheatland, WY 82201-3201 | 2020-11-06 |
| 1528678786 | Banner Health Physicians West LLC | Clinic/Center | 2300 Gasser Rd, Riverton, WY 82501-2204 | 2020-08-03 |
| 1639617145 | Banner Health Physicians West LLC | Clinic/Center | 1356 Shiek St, Wheatland, WY 82201-3231 | 2017-02-03 |
| 1275913105 | Banner Health Physicians West LLC | Clinic/Center | 1 E Whalen Street, Guernsey, WY 82214 | 2015-06-05 |
| 1639682370 | Banner Health Physicians West LLC | Clinic/Center | 1356 Shiek St, Wheatland, WY 82201-3231 | 2017-11-15 |
| 1568909968 | Banner Health Physicians West LLC | Clinic/Center | 443 Big Horn St, Thermopolis, WY 82443-2306 | 2017-01-23 |
| 1942672977 | Banner Health Physicians West LLC | Clinic/Center | 201 14th St, Wheatland, WY 82201-3201 | 2015-10-29 |
| 1962882845 | Banner Health Physicians West LLC | Clinic/Center | 1551 Brice St, Wheatland, WY 82201-3505 | 2015-06-04 |
| 1598145476 | Banner Health Physicians West LLC | Clinic/Center | 222 S 5th St, Douglas, WY 82633-2534 | 2015-06-04 |
| 1568885655 | Banner Health Physicians West LLC | Clinic/Center | 2000 Campbell Dr, Torrington, WY 82240-1528 | 2014-01-27 |
| Street Address |
900 LINCOLN AVE |
| City | GRANT |
| State | NE |
| Zip Code | 69140-3095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619979010 | Pamela L Murphy | Nurse Anesthetist, Certified Registered | 900 Lincoln Ave, Grant, NE 69140-3095 | 2005-08-15 |
| 1710316237 | Banner Health Physicians Colorado LLC | Clinic/Center | 900 Lincoln Ave, Grant, NE 69140-3095 | 2013-11-05 |
| 1508102450 | Bradley A Wiesner | Nurse Anesthetist, Certified Registered | 900 Lincoln Ave, Grant, NE 69140-3095 | 2012-12-21 |
| 1215204995 | Benjamin Robert Holmstedt | Physical Therapist | 900 Lincoln Ave, Grant, NE 69140-3095 | 2011-11-22 |
| 1164670352 | Perkins County Hospital District | Durable Medical Equipment & Medical Supplies | 900 Lincoln Ave, Grant, NE 69140-3095 | 2008-09-03 |
| 1871705210 | Shane B Banks | Surgery | 900 Lincoln Ave, Grant, NE 69140-3095 | 2007-05-06 |
| 1598823528 | Carol S. Cornelius | Physician Assistant | 900 Lincoln Ave, Grant, NE 69140-3095 | 2006-12-04 |
| 1598879397 | Perkins County Hospital District | Nursing Facility/Intermediate Care Facility | 900 Lincoln Ave, Grant, NE 69140-3095 | 2006-08-18 |
| 1629086012 | Perkins County Hospital District | General Acute Care Hospital | 900 Lincoln Ave, Grant, NE 69140-3095 | 2006-08-03 |
| 1437167970 | Perkins County Hospital District | General Acute Care Hospital | 900 Lincoln Ave, Grant, NE 69140-3095 | 2006-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649248220 | John Matthew Byrd | Family Medicine | 912 Central Avenue, Grant, NE 69140 | 2006-03-09 |
| 1366543365 | Colglazier Clinic | Clinic/Center | 945 Washington Avenue, Grant, NE 69140-0097 | 2006-09-25 |
| 1508969189 | Marvin Allen Swan | Dentist | 242 Central Ave, Grant, NE 69140-0863 | 2006-09-07 |
| 1528255668 | First Insight Eyecare, LLC | Optometrist | 115 W 3rd, Grant, NE 69140-0950 | 2007-10-03 |
| 1255340717 | Jorje Jette Geisert | Pharmacist | 218 Central Ave, Grant, NE 69140-3016 | 2006-08-05 |
| 1740526151 | J&j Pharms. LLC | Pharmacy | 218 Central Ave, Grant, NE 69140-3016 | 2012-12-13 |
| 1073648663 | J & J Pharmacies LLC | Pharmacy | 218 Central Ave, Grant, NE 69140-3016 | 2007-02-22 |
| 1619912045 | County of Perkins | Ambulance | 342 Central Ave, Grant, NE 69140-3021 | 2006-06-19 |
| 1285631721 | Clifford Ray Colglazier | General Practice | 945 Washington Ave, Grant, NE 69140-3044 | 2005-06-30 |
| 1235683087 | Julie Kuskie | Nurse Practitioner | 945 Washington Ave, Grant, NE 69140-3044 | 2016-08-10 |
| Find all providers in zip 69140 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710316237 | Banner Health Physicians Colorado LLC | Clinic/Center | 900 Lincoln Ave, Grant, NE 69140-3095 | 2013-11-05 |
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|---|---|---|---|---|
| 1689209769 | Lincoln Joint & Wellness Care LLC | Clinic/Center | 4500 S 70th St Ste 117, Lincoln, NE 68516-4283 | 2020-03-09 |
| 1881123487 | Igotsober, LLC | Clinic/Center | 4905 Dodge St, Omaha, NE 68132-2961 | 2017-06-07 |
| 1942697735 | South Omaha Surgical Center LLC | Clinic/Center | 3201 S 24th St, Omaha, NE 68108-1825 | 2015-04-20 |
| 1790107753 | The Clearview Center, Incorporated | Clinic/Center | 105 S 49th St Ste K, Omaha, NE 68132-3252 | 2014-01-10 |
| 1851737316 | St. Mary's Community Hospital | Clinic/Center | 1301 Grundman Blvd., Suite A, Nebraska City, NE 68410-3320 | 2013-05-10 |
| 1639427560 | Bprc LLC | Clinic/Center | 1610 S 70th St, Suite 102, Lincoln, NE 68506-1565 | 2012-08-27 |
| 1265086698 | Mindful Counseling and Wellness, LLC | Clinic/Center | 421 S 9th St Ste 126, Lincoln, NE 68508 | 2019-07-24 |
| 1730647611 | Complete Family Treatment Services | Clinic/Center | 4600 Valley Rd Ste 425, Lincoln, NE 68510-4855 | 2019-03-09 |
| 1902304702 | Ogallala Community Hospital | Clinic/Center | 2601 N Spruce St, Ogallala, NE 69153-2465 | 2018-01-26 |
| 1386157071 | City of Genoa | Clinic/Center | 303 Broadway St, Fullerton, NE 68638-3152 | 2017-11-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.