| Banner Health | |
|
1600 23rd Ave Greeley CO 80634-6070 | |
| (970) 356-2424 | |
| (970) 346-2828 |
| Full Name | Banner Health |
|---|---|
| Speciality | Clinic/center |
| Location | 1600 23rd Ave, Greeley, Colorado |
| Authorized Official Name and Position | Dennis Laraway (CFO) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Health 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Banner Health 1600 23rd Ave Greeley CO 80634-6070 Ph: (970) 356-2424 |
| NPI Number | 1801886668 |
|---|---|
| Provider Enumeration Date | 10/24/2005 |
| Last Update Date | 01/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801886668 | NPI | - | NPPES |
| 04021291 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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