NCMC SPECIALTY CLINIC (NPI# 1467608752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467608752 |
| Entity Type | Organization |
| Organization Name | NCMC SPECIALTY CLINIC |
| Practice Address |
300 Exempla Cir Suite 200 Lafayette CO 80026-3397 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 9703784433 |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |
| Authorized Official Name | DENNIS E DAHLEN (SR VP FINANCE) |
| Authorized Official Telephone | 6027474000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BANNER HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 09285814 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063924348 | Ncmc Specialty Clinic | Clinic/Center | 2000 Boise Ave, Loveland, CO 80538-5006 | 2017-10-26 |
| 1164975165 | Ncmc Specialty Clinic | Clinic/Center | 1813 Cheyenne Ave, Loveland, CO 80538-4244 | 2016-07-27 |
| 1336488063 | Ncmc Specialty Clinic | Clinic/Center | 1801 16th St, Greeley, CO 80631-5154 | 2013-01-31 |
| 1134472574 | Ncmc Specialty Clinic | Clinic/Center | 608 E Harmony Rd Ste 101, Fort Collins, CO 80525-3210 | 2012-10-23 |
| 1225315898 | Ncmc Specialty Clinic | Clinic/Center | 2601 N Spruce St, Ogallala, NE 69153-2465 | 2011-11-10 |
| 1982987178 | Ncmc Specialty Clinic | Clinic/Center | 500 Main St, Fort Morgan, CO 80701-2130 | 2011-09-23 |
| 1043506371 | Ncmc Specialty Clinic | Clinic/Center | 1405 S 8th Ave, Ste 104, Sterling, CO 80751-4563 | 2011-06-24 |
| 1023319464 | Ncmc Specialty Clinic | Clinic/Center | 1800 15th St, Suite 320, Greeley, CO 80631-4500 | 2010-11-16 |
| 1619116159 | Ncmc Specialty Clinic | Clinic/Center | 1517 16th Avenue Ct, Greeley, CO 80631-4574 | 2009-02-06 |
| 1417193574 | Ncmc Specialty Clinic | Clinic/Center | 1800 15th St, Suite 210, Greeley, CO 80631-4500 | 2008-12-19 |
| Street Address |
300 EXEMPLA CIR SUITE 200 |
| City | LAFAYETTE |
| State | CO |
| Zip Code | 80026-3397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063485936 | Ernest Edward Nitka | Psychiatry & Neurology | 300 Exempla Cir, Suite 230, Lafayette, CO 80026-3397 | 2006-02-09 |
| 1598379984 | Scl Health Medical Group - Denver, LLC | Internal Medicine | 300 Exempla Cir, Lafayette, CO 80026-3397 | 2020-09-02 |
| 1821538174 | Lauren Elizabeth Hammer | Nurse Practitioner | 300 Exempla Cir, Suite 470, Lafayette, CO 80026-3397 | 2017-03-06 |
| 1952858185 | Heather Dunham | Nurse Practitioner | 300 Exempla Cir, Suite 420, Lafayette, CO 80026-3397 | 2016-09-06 |
| 1972927382 | Froc, PC | Orthopaedic Surgery | 300 Exempla Cir, Suite 200, Lafayette, CO 80026 | 2014-02-06 |
| 1518300367 | Sarah Braden White | Emergency Medicine | 300 Exempla Cir, #204, Lafayette, CO 80026-3397 | 2013-04-11 |
| 1144517947 | Katrina Marie Pack | Psychiatry & Neurology | 300 Exempla Cir, Suite 230, Lafayette, CO 80026-3397 | 2011-06-30 |
| 1700184322 | Lafayette Pediatrics and Internal Medicine | Clinic/Center | 300 Exempla Cir, Suite 420, Lafayette, CO 80026-3397 | 2011-03-06 |
| 1003120502 | Erik Berger | Internal Medicine | 300 Exempla Cir, Suite 300, Lafayette, CO 80026-3397 | 2010-07-27 |
| 1154654804 | Banner Greeley Specialists | Clinic/Center | 300 Exempla Cir, Suite 200, Lafayette, CO 80026-3397 | 2009-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671690 | Julia Michele Colton | Occupational Therapist | 110 S. Roosevelt Ave, Lafayette, CO 80026 | 2020-08-28 |
| 1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
| 1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
| 1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
| 1104474055 | 2nd Star Counseling | Clinic/Center | 260 S. Public Rd, Lafayette, CO 80026 | 2019-09-03 |
| 1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
| 1144704883 | Nikole J Randolph | Nutritionist | 2770 Dagny Way Suite 210, Lafayette, CO 80026 | 2018-09-19 |
| 1609388842 | Claro Scientific Laboratories Corp | Clinical Medical Laboratory | 1408 Horizon Ave Ste 101, Lafayette, CO 80026 | 2017-10-27 |
| Find all providers in zip 80026 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1841577392 | Banner Health Physicians Colorado LLC | Clinic/Center | 300 Exempla Cir Ste 200, Lafayette, CO 80026-3391 | 2011-11-11 |
| 1063432524 | O E Reavill M D, Apmc | Clinic/Center | 2501 W Pinhook Rd, Lafayette, LA 70508-3346 | 2006-07-20 |
| 1053344093 | Diabetes Self-management Center, Inc. | Clinic/Center | 420 W Pinhook Rd, Suite A, Lafayette, LA 70503-2131 | 2006-07-09 |
| 1396742953 | Physical Medicine Center | Clinic/Center | 401 N College Rd, Ste 3&4, Lafayette, LA 70506-4263 | 2005-06-28 |
| 1790226611 | Checkup, LLC | Clinic/Center | 850 Kaliste Saloom Rd Ste 122, Lafayette, LA 70508-4230 | 2017-03-10 |
| 1306102884 | Acadiana Wound Clinic LLC | Clinic/Center | 850 N Pierce St, Suite C, Lafayette, LA 70501-2848 | 2012-04-09 |
| 1154654804 | Banner Greeley Specialists | Clinic/Center | 300 Exempla Cir, Suite 200, Lafayette, CO 80026-3397 | 2009-09-14 |
| 1487852026 | Townsend Recovery, LLC | Clinic/Center | 2600 Johnston St, Suite 110, Lafayette, LA 70503-3269 | 2007-07-05 |
| 1699885855 | Lhcg-xi, LLC | Clinic/Center | 913 S College Rd, Suite 100, Lafayette, LA 70503-3060 | 2006-08-30 |
| Find all providers in LAFAYETTE | ||||
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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.