Banner Health Physicians Colorado Llc | |
2701 Madison Square Dr Loveland CO 80538-3386 | |
(970) 820-6660 | |
(970) 820-1099 |
Full Name | Banner Health Physicians Colorado Llc |
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Speciality | Clinic/center - Multi-specialty |
Location | 2701 Madison Square Dr, Loveland, Colorado |
Authorized Official Name and Position | Shiva Birdi (CEO) |
Authorized Official Contact | 6027474000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Banner Health Physicians Colorado Llc 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Banner Health Physicians Colorado Llc 2701 Madison Square Dr Loveland CO 80538-3386 Ph: (970) 820-6660 |
NPI Number | 1396009635 |
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Provider Enumeration Date | 07/02/2012 |
Last Update Date | 05/31/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396009635 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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Banner Health Physicians Colorado Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Boise Ave Ste 420, Loveland, CO 80538 Phone: 970-669-3212 Fax: 970-669-6162 |