BANNER HEALTH PHYSICIANS COLORADO LLC (NPI# 1891069019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891069019 |
| Entity Type | Organization |
| Organization Name | BANNER HEALTH PHYSICIANS COLORADO LLC |
| Practice Address |
900 Cedar St Julesburg CO 80737-1121 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 9705222264 |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2013-11-01 |
| 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 |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | Hospitals | ||
| 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 |
900 CEDAR ST |
| City | JULESBURG |
| State | CO |
| Zip Code | 80737-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932192226 | Douglas Lee Kruckner | Family Medicine | 900 Cedar St, Julesburg, CO 80737 | 2005-08-23 |
| 1649894858 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 900 Cedar St, Julesburg, CO 80737-1121 | 2020-06-03 |
| 1821329798 | Family Care Clinic | Clinic/Center | 900 Cedar St, Julesburg, CO 80737-1121 | 2010-01-16 |
| 1598995417 | Autumn Marie Martin | Nurse Practitioner | 900 Cedar St, Julesburg, CO 80737-1121 | 2009-07-27 |
| 1811150428 | Sedgwick County Health Center | Clinic/Center | 900 Cedar St, Julesburg, CO 80737-1121 | 2008-07-03 |
| 1720241334 | Sedgwick County Hospital | Clinic/Center | 900 Cedar St, Julesburg, CO 80737-1121 | 2008-07-03 |
| 1992989586 | Cheyenne County Hospital Association | Home Health | 900 Cedar St, Julesburg, CO 80737-1121 | 2007-12-19 |
| 1649489022 | Cheyenne County Hospital Association Inc. | Hospice Care, Community Based | 900 Cedar St, Julesburg, CO 80737-1121 | 2007-05-22 |
| 1851508675 | Cheyenne County Hospital Association, Inc. | Home Health | 900 Cedar St, Julesburg, CO 80737-1121 | 2007-05-17 |
| 1881602738 | Sedgwick County Memorial Hospital | Family Medicine | 900 Cedar St, Julesburg, CO 80737-1121 | 2006-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093941494 | Abts Pharmacy LLC | Pharmacy | 121 Cedar Street, Julesburg, CO 80737 | 2009-05-31 |
| 1356574859 | Health Care Partners Foundation Inc | Clinic/Center | 502 W 8th St, Julesburg, CO 80737-1015 | 2009-08-31 |
| 1689116816 | Eastern Colorado Services for The Developmentally Disabled, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 823 W 9th St, Julesburg, CO 80737-1097 | 2016-11-04 |
| 1053326736 | Lisa Regier | Physician Assistant | 116 E 9th St, Julesburg, CO 80737-1100 | 2006-07-30 |
| 1407863871 | Michael Lipnick | Family Medicine | 116 E 9th St, Julesburg, CO 80737-1100 | 2006-08-01 |
| 1316954787 | Ronald Cooper | Physician Assistant | 116 E 9th St, Julesburg, CO 80737-1100 | 2006-08-01 |
| 1164439535 | Donald Dean Regier | Family Medicine | 116 E 9th St, Julesburg, CO 80737-1100 | 2006-08-01 |
| 1073647459 | Segwick County Heatlh Center | Nursing Facility/Intermediate Care Facility | 901 Cedar St, Julesburg, CO 80737-1120 | 2007-03-15 |
| 1962536342 | Sedgwick County Health Center | Assisted Living Facility | 900 Pine St, Julesburg, CO 80737-1139 | 2007-03-15 |
| 1396815619 | Dalette Ann Carlson | Nurse Anesthetist, Certified Registered | 104 W 1st St, Julesburg, CO 80737-1502 | 2006-11-08 |
| Find all providers in zip 80737 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821329798 | Family Care Clinic | Clinic/Center | 900 Cedar St, Julesburg, CO 80737-1121 | 2010-01-16 |
| 1356574859 | Health Care Partners Foundation Inc | Clinic/Center | 502 W 8th St, Julesburg, CO 80737-1015 | 2009-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235127 | Matthews-vu Medical Group, P.C. | Clinic/Center | 4190 E Woodmen Rd Ste 230, Colorado Springs, CO 80920-8075 | 2020-11-06 |
| 1811596497 | Eye Associates of Colorado Springs, PC | Clinic/Center | 7075 Campus Dr Ste 100, Colorado Springs, CO 80920-6524 | 2020-10-23 |
| 1477169670 | Yampa Valley Medical Center | Clinic/Center | 136 Lincoln Ave, Steamboat Springs, CO 80487 | 2020-09-22 |
| 1467067702 | Western Infectious Disease Consultants, P.C. | Clinic/Center | 1551 Professional Ln Unit 280, Longmont, CO 80501-6965 | 2020-09-14 |
| 1932714714 | Silver Linings House Calls LLC | Clinic/Center | 5040 Shelby Dr, Castle Rock, CO 80104-5433 | 2020-09-09 |
| 1538774377 | Kremmling Memorial Hospital District | Clinic/Center | 1000 Granby Park South, Granby, CO 80446-8900 | 2020-09-09 |
| 1396356325 | Yampa Valley Medical Center | Clinic/Center | 940 Central Park Dr Ste 207, Steamboat Springs, CO 80487-8853 | 2020-08-13 |
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1609400407 | Pure Healthcare of Colorado LLC | Clinic/Center | 320 E Fontanero St Ste 103, Colorado Springs, CO 80907-7535 | 2020-03-02 |
| 1073146833 | Boulder Medical Center, P.C. | Clinic/Center | 89 S Briggs St Ste 105, Erie, CO 80516-4063 | 2020-02-19 |
| 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.