Banner Medical Group Greeley Llc

LBN: Banner Medical Group Greeley Llc
Banner Medical Group Greeley Llc is an health care organization with primary practice located at 5623 W 19Th St , Greeley CO 80634-2901. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Banner Medical Group Greeley Llc can be contacted via phone (970) 353-9011, or through Dahlen, Dennis via phone (602) 747-4000.

Contact Information

Primary practice address
5623 W 19Th St Greeley CO 80634-2901
Phone: (970) 353-9011
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dahlen, Dennis
Phone: (602) 747-4000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1104070333
LBN Legal business name Banner Medical Group Greeley Llc
DBA Doing business as
Authorized official Dahlen, Dennis
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2008
Last updated Sep 20th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104070333 NPPES
Colorado MEDICAID 11658541

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