BANNER CANCER CENTER SPECIALISTS COLORADO LLC (NPI# 1932682077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932682077 |
| Entity Type | Organization |
| Organization Name | BANNER CANCER CENTER SPECIALISTS COLORADO LLC |
| Practice Address |
2050 Boise Ave Unit B Loveland CO 80538-5036 |
| Mailing Address |
2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 |
| Practice Telephone | 9708106680 |
| Practice Fax Number | 9708106610 |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2018-09-14 |
| Authorized Official Name | DENNIS LARAWAY (CFO) |
| 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 | 261QX0200X |
Clinic/Center Specialization: Oncology |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942783089 | Banner Cancer Center Specialists Colorado LLC | Clinic/Center | 1800 15th St Ste A, Greeley, CO 80631-4595 | 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 |
| Street Address |
2050 BOISE AVE UNIT B |
| City | LOVELAND |
| State | CO |
| Zip Code | 80538-5036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447250071 | Pamola Sue Gale | Nurse Practitioner | 2050 Boise Ave Unit B, Loveland, CO 80538-5036 | 2005-07-26 |
| 1629016100 | Elizabeth Ann Ceilley | Radiology | 2050 Boise Ave Unit B, Department of Radiation Oncology, Loveland, CO 80538-5036 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332385 | Jocelyn Stott | Social Worker | 1611 N Estrella Avenue, Loveland, CO 80538 | 2020-10-02 |
| 1184234049 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 383 W. 37th St., Ste. 104, Loveland, CO 80538 | 2020-08-05 |
| 1578102752 | Shela Wagner | Student in an Organized Health Care Education/Training Program | 2603 North Monroe Ave, Loveland, CO 80538 | 2020-01-05 |
| 1184261901 | Sierra Compton | Behavior Technician | 2906 Ginnala Drive, Loveland, CO 80538 | 2019-12-01 |
| 1497306138 | Warrior Diagnostics, Inc. | Clinical Medical Laboratory | 6215 Aviation Cir., Loveland, CO 80538 | 2019-09-24 |
| 1093372625 | Kimberly Ann Boogaerts | Behavior Technician | 1437 North Denver Ave Ste 237, Loveland, CO 80538 | 2019-05-20 |
| 1033676101 | Hero Vision of Loveland, LLC | Optometrist | 3515 Mountain Lion Drive, Loveland, CO 80538 | 2019-02-26 |
| 1225509201 | Mbbk Consulting Inc. | Day Training, Developmentally Disabled Services | 4115 Georgetown Drive, Loveland, CO 80538 | 2018-12-17 |
| 1457833808 | Judy A Elliott | Speech-Language Pathologist | 3232 Williamsburg St, Loveland, CO 80538 | 2018-09-02 |
| 1245756584 | Beth Joyce Hale | Counselor | 1440 W.29th, #100, Loveland, CA 80538 | 2017-08-18 |
| Find all providers in zip 80538 | ||||
| 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 |
|---|---|---|---|---|
| 1962985366 | Banner Cancer Center Specialists Colorado LLC | Clinic/Center | 2000 Boise Ave, Loveland, CO 80538-5006 | 2018-09-11 |
| 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 |
| 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 |
| 1508166117 | Banner Oncology Services | Clinic/Center | 615 Fairhurst St, Sterling, CO 80751-4523 | 2010-10-28 |
| 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.