| Banner Health Physicians Colorado Llc | |
|
1001 E Johnson St Holyoke CO 80734-1854 | |
| (970) 854-2241 | |
| Not Available |
| Full Name | Banner Health Physicians Colorado Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1001 E Johnson St, Holyoke, 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 1001 E Johnson St Holyoke CO 80734-1854 Ph: (970) 854-2241 |
| NPI Number | 1336413558 |
|---|---|
| Provider Enumeration Date | 03/06/2012 |
| Last Update Date | 03/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336413558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Family Practice Of Holyoke Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1001 E Johnson Street, Holyoke, CO 80734 Phone: 970-854-2500 Fax: 970-854-3440 | |
Rural Physicians Group, Pannu-pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 E Johnson St, Holyoke, CO 80734 Phone: 303-390-1924 Fax: 866-368-6349 | |
Family Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 E Johnson St, Holyoke, CO 80734 Phone: 970-854-2241 |