| Banner Health Physicians West Llc | |
|
900 Lincoln Ave Grant NE 69140-3095 | |
| (308) 352-7200 | |
| (608) 352-7299 |
| Full Name | Banner Health Physicians West Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 900 Lincoln Ave, Grant, Nebraska |
| 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 West Llc 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Banner Health Physicians West Llc 900 Lincoln Ave Grant NE 69140-3095 Ph: (308) 352-7200 |
| NPI Number | 1295089076 |
|---|---|
| Provider Enumeration Date | 11/01/2012 |
| Last Update Date | 01/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295089076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Colglazier Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 945 Washington Avenue, Grant, NE 69140 Phone: 308-352-2122 Fax: 308-352-2281 | |
Mathews Family Chiropractic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 W 3rd St, Grant, NE 69140 Phone: 308-352-4470 Fax: 855-513-0677 | |
Banner Health Physicians Colorado Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Lincoln Ave, Grant, NE 69140 Phone: 308-352-7200 Fax: 308-352-7299 | |
Grant Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 912 Central Ave, Grant, NE 69140 Phone: 308-352-7100 Fax: 308-352-7103 |