BANNER GREELEY ANESTHESIA (NPI# 1376852095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376852095 |
Entity Type | Organization |
Organization Name | BANNER GREELEY ANESTHESIA |
Practice Address |
615 Fairhurst St Sterling CO 80751-4523 |
Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
Practice Telephone | 9705220122 |
Enumeration Date | 2010-09-29 |
Last Update Date | 2010-09-29 |
Authorized Official Name | DENNIS E DAHLEN (SR VP FINANCE) |
Authorized Official Telephone | 4807474000 |
Is Organization Subpart | Y |
Parent Organization Name | BANNER HEALTH |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174886758 | Banner Greeley Anesthesia | Clinic/Center | 5890 W 13th St Ste 102, Greeley, CO 80634-4821 | 2012-06-19 |
1952697765 | Banner Greeley Anesthesia | Clinic/Center | 2400 Edison St, Brush, CO 80723-1640 | 2011-06-21 |
1295962991 | Banner Greeley Anesthesia | Clinic/Center | 1801 16th St, Greeley, CO 80631-5154 | 2009-06-19 |
Street Address |
615 FAIRHURST ST |
City | STERLING |
State | CO |
Zip Code | 80751-4523 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861495749 | Frank M Nash | Nurse Anesthetist, Certified Registered | 615 Fairhurst St, Sterling, CO 80751-4564 | 2005-05-24 |
1609490846 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 615 Fairhurst St, Sterling, CO 80751-4523 | 2020-06-03 |
1558863415 | Lifelinc Anesthesia Colorado LLC | Nurse Anesthetist, Certified Registered | 615 Fairhurst St, Sterling, CO 80751-4523 | 2018-03-06 |
1669983722 | Sterling Regional Medcenter | Clinic/Center | 615 Fairhurst St, Sterling, CO 80751-4523 | 2017-10-17 |
1508385204 | Sterling Regional Medcenter | Clinical Medical Laboratory | 615 Fairhurst St, Sterling, CO 80751-4523 | 2017-09-13 |
1528518628 | Erin Egan LLC | Internal Medicine | 615 Fairhurst St, Sterling, CO 80751-4523 | 2016-10-12 |
1467837609 | Sterling Regional Medcenter | Clinic/Center | 615 Fairhurst St, Sterling, CO 80751-4523 | 2015-07-29 |
1053799171 | Blue Sage Medical Corporation | Family Medicine | 615 Fairhurst St, Sterling, CO 80751-4523 | 2015-05-08 |
1255734141 | Haley Edwards | Dietitian, Registered | 615 Fairhurst St, Sterling, CO 80751-4523 | 2014-10-06 |
1942630835 | Bonnie Brownell | Nurse Practitioner | 615 Fairhurst St, Family Care Clinic, Sterling, CO 80751-4523 | 2013-11-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114557915 | Advantage Treatment Centers Inc | Clinic/Center | 12220 Hwy 61, Sterling, CO 80751 | 2020-01-21 |
1477018786 | Elizabeth Broadwell | Nurse Practitioner | 12101 Co-61, Sterling, CO 80751 | 2019-01-31 |
1396102794 | Jamie Soucie | Counselor | 330 W. Maint St. Ste B, Sterling, CO 80751 | 2016-01-15 |
1023487469 | Tappy Health & Wellness, Inc. | Physical Therapist | 309 S Railway St, Sterling, CO 80751 | 2015-09-16 |
1033465257 | Patricia Carol Smith | Physical Therapist | 100 Broadway St. Suite 24, Sterling, CO 80751 | 2012-07-25 |
1770855900 | Total Renal Care Inc | Clinic/Center | 603 Holly Dr, Sterling, CO 80751 | 2012-02-03 |
1609172782 | Keyna I Schlup | Family Medicine | 428 S 2nd St, Sterling, CO 80751 | 2011-02-07 |
1871811604 | Alexis Balstad | Obstetrics & Gynecology | 1405 S 8th Ave Suite 105, Sterling, CO 80751 | 2010-05-04 |
1770705659 | Donna Bishop Davis | Marriage & Family Therapist | 228 South Third Street, Suite 1, Sterling, CO 80751 | 2007-05-02 |
1659406338 | Kimberly Ann Suter | Dentist | 617 W Main Street, Sterling, CO 80751 | 2007-02-22 |
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Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
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1861934234 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 46440 Benedict Dr, Suite 108, Sterling, VA 20164-6602 | 2016-11-16 |
1952550998 | Concentra Health Services, Inc. | Clinic/Center | 45305 Catalina Ct., Suite 103, Sterling, VA 20166 | 2008-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306462965 | Cresente Mentes A Limited Liability Company | Clinic/Center | 1692 W Canal Cir Unit 1034, Littleton, CO 80120-4560 | 2020-06-19 |
1639798937 | Colorado Addiction and Psychiatry, LLC | Clinic/Center | 1801 Chestnut Place Unit 128, Denver, CO 80202 | 2020-04-16 |
1467084129 | Tri-county Health Department | Clinic/Center | 7201 E. 72nd Ave., Commece City, CO 80022 | 2020-02-10 |
1205468493 | Tri-county Health Department | Clinic/Center | 9000 E Colfax Ave, Aurora, CO 80010-5030 | 2020-02-06 |
1336771534 | Tri-county Health Department | Clinic/Center | 15192 E Hampden Ave, Aurora, CO 80014-3906 | 2020-02-06 |
1124650221 | Tri-county Health Department | Clinic/Center | 30 S 20th Ave Ste Fg, Brighton, CO 80601-3705 | 2020-02-06 |
1992337091 | Tri-county Health Department | Clinic/Center | 7000 Broadway Ste 400, Denver, CO 80221-2947 | 2020-02-06 |
1467084566 | Tri-county Health Department | Clinic/Center | 9350 Heritage Hills Cir, Lone Tree, CO 80124-5518 | 2020-02-06 |
1962032003 | Sc Telehealth Clinic LLC | Clinic/Center | 1013 Candytuft Blvd, Pueblo, CO 81001-1026 | 2020-01-16 |
1568029767 | Infinity Imaging LLC | Clinic/Center | 8515 Pearl St Ste 201, Thornton, CO 80229-4809 | 2019-05-22 |
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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.