BANNER HEALTH PHYSICIANS COLORADO LLC (NPI# 1558601278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558601278 |
| Entity Type | Organization |
| Organization Name | BANNER HEALTH PHYSICIANS COLORADO LLC |
| Practice Address |
400 S 15th St Worland WY 82401-3531 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 3073476958 |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2013-02-15 |
| 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 |
|---|---|---|---|---|
| 1659882272 | Banner Health Physicians Colorado LLC | Clinic/Center | 7859 6th Street, Wellington, CO 80549 | 2017-10-23 |
| 1346794393 | Banner Health Physicians Colorado LLC | Clinic/Center | 1800 15th St Ste G10, Greeley, CO 80631-4595 | 2016-08-08 |
| 1568840742 | Banner Health Physicians Colorado LLC | Clinic/Center | 5890 W 13th St Ste 104, Greeley, CO 80634-4821 | 2015-05-08 |
| 1730598749 | Banner Health Physicians Colorado LLC | Clinic/Center | 2555 E 13th St Ste 230, Loveland, CO 80537-5133 | 2014-08-05 |
| 1972842607 | Banner Health Physicians Colorado LLC | Clinic/Center | 1405 S 8th Ave Ste 104, Sterling, CO 80751-4560 | 2013-01-31 |
| 1487918728 | Banner Health Physicians Colorado LLC | Clinic/Center | 6801 W 20th St Unit 201, Greeley, CO 80634-9640 | 2012-07-02 |
| 1376806711 | Banner Health Physicians Colorado LLC | Clinic/Center | 8201 Spinnaker Bay Dr Ste D, Windsor, CO 80528-7534 | 2012-06-20 |
| 1174884274 | Banner Health Physicians Colorado LLC | Clinic/Center | 608 E Harmony Rd Ste 101, Fort Collins, CO 80525-3210 | 2012-06-05 |
| 1942576061 | Banner Health Physicians Colorado LLC | Clinic/Center | 1900 Boise Ave Ste 300, Loveland, CO 80538-5004 | 2012-03-23 |
| 1487926903 | Banner Health Physicians Colorado LLC | Clinic/Center | 615 Fairhurst, Sterling, CO 80751-4523 | 2012-01-30 |
| Street Address |
400 S 15TH ST |
| City | WORLAND |
| State | WY |
| Zip Code | 82401-3531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558398867 | Dowie J. Vanderwerff | Nurse Anesthetist, Certified Registered | 400 S 15th St, Worland, WY 82401-3531 | 2006-06-26 |
| 1053823054 | Morgan Kinnes | Physical Therapist | 400 S 15th St, Worland, WY 82401-3531 | 2017-10-30 |
| 1932621091 | Nugent Ventures LLC | Internal Medicine | 400 S 15th St, Worland, WY 82401-3531 | 2017-07-11 |
| 1699224758 | Kwd Services LLC | Internal Medicine | 400 S 15th St, Worland, WY 82401-3531 | 2016-09-29 |
| 1568847705 | Washakie Medical Center | Clinic/Center | 400 S 15th St, Worland, WY 82401-3531 | 2015-07-29 |
| 1558753277 | Alpha Medical Inc | Family Medicine | 400 S 15th St, Worland, WY 82401-3531 | 2015-03-04 |
| 1700208808 | Grant Hospitalists Services, LLC | Hospitalist | 400 S 15th St, Worland, WY 82401-3531 | 2014-01-09 |
| 1649610205 | Jaime Mertz | Nurse Anesthetist, Certified Registered | 400 S 15th St, Worland, WY 82401-3531 | 2013-06-27 |
| 1629316641 | Banner Hospital Based Physicians Colorado LLC | Clinic/Center | 400 S 15th St, Worland, WY 82401-3531 | 2013-01-25 |
| 1427370873 | Banner Professional Services | Clinic/Center | 400 S 15th St, Worland, WY 82401-3531 | 2010-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386284107 | Margaret Joan Mcdaniel | Registered Nurse | 1910 Sage Crossing Ave, Worland, WY 82401 | 2020-01-09 |
| 1902365240 | Worland Pharmacy Inc. | Pharmacy | 1095 Circle Rd, Worland, WY 82401 | 2019-03-17 |
| 1023547155 | Deborah J Anderson | Counselor | 401 South 23rd St, Worland, WY 82401 | 2017-06-12 |
| 1265808273 | Tang Mo Wong | Occupational Therapist | 1910 Howell Avenue, Worland, WY 82401 | 2015-08-12 |
| 1063783389 | William Jonas Tempany | Counselor | 406 S 6, Basin, WY 82401 | 2012-01-18 |
| 1609009133 | Sharon Eisele | Case Manager/Care Coordinator | 1216 Ti Bi Yek, Worland, WY 82401 | 2009-09-01 |
| 1295997013 | Benjamin B Wilde | Family Medicine | 1405 Howell, Worland, WY 82401 | 2008-07-02 |
| 1134390552 | Linda Kay Hausner | Registered Nurse | 401 South 23rd Street, 401 South 23rd Street, Worland, WY 82401 | 2008-03-13 |
| 1033302047 | Lisa Anne Stephens | Physical Therapist | 1313 Big Horn Ave, Worland, WY 82401 | 2007-08-22 |
| 1316147952 | Jeffries Dental, P.C. | Dentist | 3313 Paintbrush Lane, Worland, WY 82401 | 2007-07-23 |
| Find all providers in zip 82401 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104854710 | Wmc Clinic | Clinic/Center | 1405 Howell Ave, Worland, WY 82401-4127 | 2006-06-30 |
| 1619464120 | Banner Hospital Based Physicians West LLC | Clinic/Center | 1405 Howell Ave, Worland, WY 82401-4127 | 2018-04-19 |
| 1568847705 | Washakie Medical Center | Clinic/Center | 400 S 15th St, Worland, WY 82401-3531 | 2015-07-29 |
| 1629316641 | Banner Hospital Based Physicians Colorado LLC | Clinic/Center | 400 S 15th St, Worland, WY 82401-3531 | 2013-01-25 |
| 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 |
| 1568927127 | Hope and Guidance LLC | Clinic/Center | 78 North St, Laramie, WY 82072-9579 | 2019-02-07 |
| 1902399389 | Serenity Counseling & Mental Health Services | Clinic/Center | 747 Patches, Carpenter, WY 82054-9403 | 2018-06-11 |
| 1235620204 | Graves and Associates LLC | Clinic/Center | 2020 E Grand Ave Ste 429, Laramie, WY 82070-4380 | 2018-05-24 |
| 1205333721 | Veronica Pedersen, Lcsw, LLC | Clinic/Center | 3712 Snyder Ave, Cheyenne, WY 82001-1163 | 2018-04-11 |
| 1114452166 | Pauljordanwashburnmd, LLC. | Clinic/Center | 5720 Osage Ave, 3-301, Cheyenne, WY 82009-3948 | 2017-04-27 |
| 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 |
| 1447661319 | Healthworks Med Group of Wyoming P C | Clinic/Center | 2723 Christensen Rd, Cheyenne, WY 82007-9662 | 2014-05-14 |
| 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.