BANNER OCCUPATIONAL HEALTH COLORADO LLC (NPI# 1669724134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669724134 |
| Entity Type | Organization |
| Organization Name | BANNER OCCUPATIONAL HEALTH COLORADO LLC |
| Practice Address |
1517 16th Avenue Ct Greeley CO 80631-4574 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 9703506810 |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2012-10-09 |
| 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 | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
| Street Address |
1517 16TH AVENUE CT |
| City | GREELEY |
| State | CO |
| Zip Code | 80631-4574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790744084 | Gregory Reichhardt | Physical Medicine & Rehabilitation | 1517 16th Avenue Ct, Greeley, CO 80631-4574 | 2006-03-23 |
| 1255971404 | North Colorado Medical Center | Clinic/Center | 1517 16th Avenue Ct, Greeley, CO 80631-4574 | 2020-01-15 |
| 1255705190 | Carol W Rich | Specialist | 1517 16th Avenue Ct, Greeley, CO 80631-4574 | 2015-11-16 |
| 1497149389 | Wendy Castillo | Specialist | 1517 16th Avenue Ct, Greeley, CO 80631-4574 | 2015-03-27 |
| 1578961579 | Sarah Gershon | Specialist | 1517 16th Avenue Ct, Greeley, CO 80631-4574 | 2014-12-08 |
| 1518198118 | Banner Greeley Specialists | Clinic/Center | 1517 16th Avenue Ct, Greeley, CO 80631-4574 | 2009-07-30 |
| 1619116159 | Ncmc Specialty Clinic | Clinic/Center | 1517 16th Avenue Ct, Greeley, CO 80631-4574 | 2009-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497395743 | Marcia Martinez | Peer Specialist | 1700 N 17th Ave, Greeley, CO 80631 | 2020-01-14 |
| 1073083036 | Ryan Lawhead | Specialist/Technologist | 270 Alles Dr. D, Butler Hancock Athletic Center, Greeley, CO 80631 | 2018-12-03 |
| 1447766647 | Patricia G Ferguson | Counselor | 14272 Wcr 72, Greeley, CO 80631 | 2017-12-26 |
| 1760902662 | Robert Anthony Rexroad | Counselor | 1300 N. 17th Avenue, Greeley, CO 80631 | 2017-06-21 |
| 1326577750 | Danielle Rodriguez | Psychologist | 1300 N. 17th Ave, Greeley, CO 80631 | 2017-06-08 |
| 1790157865 | Safeway | Pharmacy | 3526 W 10th Street, Greeley, CO 80631 | 2015-10-28 |
| 1245574508 | Jayme L Clapp | Counselor | 1407 8th Ave, Greeley, CO 80631 | 2012-11-26 |
| 1114246006 | Cynthia Melissa Gitler | Emergency Medicine | Banner Health, North Colorado Medical Center, 1601 18th Street, Greenley, CO 80631 | 2010-05-18 |
| 1942438023 | Khoi Dinh Le | Surgery | 1800 15th St., Suite 200, Greeley, CO 80631 | 2009-06-26 |
| 1174760011 | Darwin James Hargrave | Counselor | 912 9th Ave., #222, Greeley, CO 80631 | 2009-01-14 |
| Find all providers in zip 80631 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295978724 | Banner Occupational Health | Clinic/Center | 1800 15th St Ste 100b, Greeley, CO 80631-4595 | 2009-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053882688 | Injury Care Associates Thornton, LLC | Clinic/Center | 9351 Grant St Ste 600, Thornton, CO 80229-4373 | 2018-12-07 |
| 1508312380 | Monument Occupational Medicine PC | Clinic/Center | 9820 Palisade Ridge Dr, Colorado Springs, CO 80920-1490 | 2016-08-31 |
| 1821200528 | Occupational Medicine and Injury Clinic | Clinic/Center | 6870 W 52nd Ave, 201, Arvada, CO 80002-3951 | 2007-05-04 |
| 1841325974 | Poudre Valley Health Care Inc | Clinic/Center | 1330 Oakridge Dr, Fort Collins, CO 80525-5564 | 2007-02-22 |
| 1609911858 | Occupational Health Centers of The Southwest Pa PC | Clinic/Center | 6750 Stapleton Drive South, Denver, CO 80216 | 2007-02-21 |
| 1982740486 | Union Medical, PC | Clinic/Center | 400 Indiana St Ste 280, Golden, CO 80401-5069 | 2007-01-30 |
| 1083765671 | Midtown Occupational Health Services,pc | Clinic/Center | 2420 W 26th Ave Ste 200d, Denver, CO 80211-5303 | 2007-01-12 |
| 1922114388 | Medically Based Fitness PC | Clinic/Center | 1690 30th St, Boulder, CO 80301-0000 | 2006-08-21 |
| 1508802406 | Michael V. Ladwig, M.d., P.C. | Clinic/Center | 6900 E 47th Avenue Dr, Suite 100, Denver, CO 80216-3463 | 2006-06-21 |
| 1104813484 | Northern Colorado Rehabilitation Hospital Inc | Clinic/Center | 4401 Union St, Loveland, CO 80537-2800 | 2005-10-03 |
| 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.