| Banner Medical Group Greeley Llc | |
|
100 S Cherry Ave Unit 1 Eaton CO 80615-8255 | |
| (970) 454-1265 | |
| Not Available |
| Full Name | Banner Medical Group Greeley Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 100 S Cherry Ave, Eaton, Colorado |
| Authorized Official Name and Position | Dennis Dahlen (SR VP FINANCE) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Medical Group Greeley Llc 1441 N 12th St Phoenix AZ 85006-2837 Ph: () - | Banner Medical Group Greeley Llc 100 S Cherry Ave Unit 1 Eaton CO 80615-8255 Ph: (970) 454-1265 |
| NPI Number | 1841441870 |
|---|---|
| Provider Enumeration Date | 10/08/2008 |
| Last Update Date | 10/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841441870 | NPI | - | NPPES |
| 75008360 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Denver Physical Therapy, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 S Elm Ave Ste 203, Eaton, CO 80615 Phone: 970-454-2560 Fax: 970-237-3483 | |
Eaton Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 S Cherry Ave Unit 1, Eaton, CO 80615 Phone: 970-454-3838 Fax: 970-454-1265 | |
Banner Health Physicians Colorado Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 S Cherry Ave Unit 1, Eaton, CO 80615 Phone: 970-454-3838 |