BANNER CANCER CENTER SPECIALISTS COLORADO LLC


Address: 1800 15th St Ste A, Greeley, CO 80631-4595
Phone: 9708106680

BANNER CANCER CENTER SPECIALISTS COLORADO LLC (NPI# 1942783089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942783089
Entity Type Organization
Organization Name BANNER CANCER CENTER SPECIALISTS COLORADO LLC
Practice Address 1800 15th St Ste A
Greeley
CO 80631-4595
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QX0200X Clinic/Center
Specialization: Oncology
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
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

Office Location

Street Address 1800 15TH ST STE A
City GREELEY
State CO
Zip Code 80631-4595

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073620811 Laurie Gaspar Radiology 1800 15th St Ste A, Greeley, CO 80631-4595 2006-08-25
1770003113 Banner Health Physicians Colorado LLC Clinic/Center 1800 15th St Ste A, Greeley, CO 80631-4595 2017-06-27
1700128154 Dustin Lee Boothe Radiology 1800 15th St Ste A, Greeley, CO 80631 2013-03-25
1003015207 Robert Ernest Swaney IIi Internal Medicine 1800 15th St Ste A, Greeley, CO 80631-4595 2007-07-17

Providers in the same zip code

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 Information

Taxonomy Code 261QX0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Oncology

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073096475 Banner Cancer Center Specialists Colorado LLC Clinic/Center 1801 16th St, Greeley, CO 80631-5154 2018-09-11
1942513965 Banner Oncology Services Clinic/Center 1800 15th St, Suite A, Greeley, CO 80631-4500 2010-07-19

Providers in the same taxonomy and state

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
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
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

Competitor

Search similar providers

City GREELEY
Zip Code 80631

Improve Information

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Dataset Information

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.

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