| Banner Hospital Based Physicians Colorado Llc | |
|
1801 16th St Greeley CO 80631-5154 | |
| (970) 392-2135 | |
| Not Available |
| Full Name | Banner Hospital Based Physicians Colorado Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1801 16th St, Greeley, Colorado |
| Authorized Official Name and Position | Shiva Birdi (BMG CEO) |
| Authorized Official Contact | 4802563336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Hospital Based Physicians Colorado Llc 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Banner Hospital Based Physicians Colorado Llc 1801 16th St Greeley CO 80631-5154 Ph: (970) 392-2135 |
| NPI Number | 1154679637 |
|---|---|
| Provider Enumeration Date | 08/15/2012 |
| Last Update Date | 04/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154679637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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