| Banner Health Physicians Colorado Llc | |
|
7859 6th Street Wellington CO 80549 | |
| (907) 821-3120 | |
| (970) 821-3201 |
| Full Name | Banner Health Physicians Colorado Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 7859 6th Street, Wellington, 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 7859 6th Street Wellington CO 80549 Ph: (907) 821-3120 |
| NPI Number | 1659882272 |
|---|---|
| Provider Enumeration Date | 10/23/2017 |
| Last Update Date | 03/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659882272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Rocky Mountain Clinics Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4240 E County Road 66, Wellington, CO 80549 Phone: 866-628-7828 | |
Wellington Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7859 6th St, Wellington, CO 80549 Phone: 970-568-4800 Fax: 970-568-4165 |