| Banner Health Physicians Colorado Llc | |
|
235 W Fletcher St Haxtun CO 80731-2737 | |
| (970) 774-6123 | |
| (970) 774-6158 |
| Full Name | Banner Health Physicians Colorado Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 235 W Fletcher St, Haxtun, 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 Physicians Colorado Llc 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Banner Health Physicians Colorado Llc 235 W Fletcher St Haxtun CO 80731-2737 Ph: (970) 774-6123 |
| NPI Number | 1073851085 |
|---|---|
| Provider Enumeration Date | 01/25/2013 |
| Last Update Date | 01/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073851085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Haxtun Family Medicine Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 235 W Fletcher, Haxtun, CO 80731 Phone: 970-774-6123 Fax: 970-774-6158 |