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 1300 Main St , Windsor CO 80550-5989. 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) 686-5646, or through Dahlen, Dennis E via phone (602) 747-4000.

Contact Information

Primary practice address
1300 Main St Windsor CO 80550-5989
Phone: (970) 686-5646
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dahlen, Dennis E
Phone: (602) 747-4000

Health care specialties

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

Profile Details

NPI number 1679804223
LBN Legal business name Banner Medical Group Greeley Llc
DBA Doing business as
Authorized official Dahlen, Dennis E
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 21st, 2010
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 1679804223 NPPES
Colorado MEDICAID 14905086

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