Banner Fort Collins Pcp, Llc | |
1683 Main St Windsor CO 80550-7921 | |
(970) 400-7618 | |
Not Available |
Full Name | Banner Fort Collins Pcp, Llc |
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Speciality | Clinic/center - Primary Care |
Location | 1683 Main St, Windsor, Colorado |
Authorized Official Name and Position | Shiva Birdi (CEO) |
Authorized Official Contact | 6027474000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Banner Fort Collins Pcp, Llc 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Banner Fort Collins Pcp, Llc 1683 Main St Windsor CO 80550-7921 Ph: (970) 400-7618 |
NPI Number | 1588454771 |
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Provider Enumeration Date | 05/09/2025 |
Last Update Date | 05/23/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588454771 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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