BANNER ONCOLOGY SERVICES (NPI# 1508166117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508166117 |
| Entity Type | Organization |
| Organization Name | BANNER ONCOLOGY SERVICES |
| Practice Address |
615 Fairhurst St Sterling CO 80751-4523 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 9705265555 |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2010-10-28 |
| Authorized Official Name | DENNIS 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 | 261QX0200X |
Clinic/Center Specialization: Oncology |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346534658 | Banner Oncology Services | Clinic/Center | 120 Old Laramie Trl E, Lafayette, CO 80026-7012 | 2011-06-03 |
| 1821302001 | Banner Oncology Services | Clinic/Center | 1801 16th St, Greeley, CO 80631-5154 | 2010-07-30 |
| 1730492612 | Banner Oncology Services | Clinic/Center | 2050 Boise Ave, Suite B, Loveland, CO 80538-5036 | 2010-07-20 |
| 1942513965 | Banner Oncology Services | Clinic/Center | 1800 15th St, Suite A, Greeley, CO 80631-4500 | 2010-07-19 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 80751 | ||||
| Taxonomy Code | 261QX0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831738061 | National Jewish Health | Clinic/Center | National Jewish North, 9451 Huron Street, Thornton, CO 80260-5426 | 2020-01-06 |
| 1609268663 | Rocky Mountain Cancer Center | Clinic/Center | 8288 Dove Ridge Way, Parker, CO 80134-8893 | 2015-02-28 |
| 1356987630 | Hca-healthone, LLC | Clinic/Center | 7180 E Orchard Rd Ste 103, Centennial, CO 80111-1725 | 2019-11-21 |
| 1942783089 | Banner Cancer Center Specialists Colorado LLC | Clinic/Center | 1800 15th St Ste A, Greeley, CO 80631-4595 | 2018-09-14 |
| 1932682077 | Banner Cancer Center Specialists Colorado LLC | Clinic/Center | 2050 Boise Ave Unit B, Loveland, CO 80538-5036 | 2018-09-14 |
| 1962985366 | Banner Cancer Center Specialists Colorado LLC | Clinic/Center | 2000 Boise Ave, Loveland, CO 80538-5006 | 2018-09-11 |
| 1073096475 | Banner Cancer Center Specialists Colorado LLC | Clinic/Center | 1801 16th St, Greeley, CO 80631-5154 | 2018-09-11 |
| 1346534658 | Banner Oncology Services | Clinic/Center | 120 Old Laramie Trl E, Lafayette, CO 80026-7012 | 2011-06-03 |
| 1942513965 | Banner Oncology Services | Clinic/Center | 1800 15th St, Suite A, Greeley, CO 80631-4500 | 2010-07-19 |
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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.