| Banner Health Physicians Colorado Llc | |
|
2001 70th Ave Ste 221 Greeley CO 80634-4628 | |
| (970) 810-5454 | |
| Not Available |
| Full Name | Banner Health Physicians Colorado Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2001 70th Ave Ste 221, Greeley, Colorado |
| Authorized Official Name and Position | Margo Karsten (DIVISION PRESIDENT) |
| Authorized Official Contact | 4087683596 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Health Physicians Colorado Llc 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Banner Health Physicians Colorado Llc 2001 70th Ave Ste 221 Greeley CO 80634-4628 Ph: (970) 810-5454 |
| NPI Number | 1639877939 |
|---|---|
| Provider Enumeration Date | 02/16/2023 |
| Last Update Date | 02/16/2023 |
| Certification Date | 02/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639877939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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