| Banner Hospital Based Physicians Colorado Llc | |
|
2000 Boise Ave Ste A Loveland CO 80538-5006 | |
| (970) 810-3894 | |
| Not Available |
| Full Name | Banner Hospital Based Physicians Colorado Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2000 Boise Ave Ste A, Loveland, 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 Hospital Based Physicians Colorado Llc 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Banner Hospital Based Physicians Colorado Llc 2000 Boise Ave Ste A Loveland CO 80538-5006 Ph: (970) 810-3894 |
| NPI Number | 1366196644 |
|---|---|
| Provider Enumeration Date | 02/07/2022 |
| Last Update Date | 02/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366196644 | 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 |