Banner Health Physicians Colorado LLC
Clinic/Center, Multi-Specialty in Julesburg, CO. Organization (NPI-2).
NPI number1891069019
StatusActive
Last updated in NPPESNov 1, 2013
Details
- NPI
- 1891069019
- Entity type
- Organization (NPI-2)
- Legal business name
- Banner Health Physicians Colorado LLC
- Organization subpart
- Yes
- Enumeration date
- Mar 6, 2012
- Last updated
- Nov 1, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 282N00000X | General Acute Care Hospital | – | – |
Practice location
900 Cedar StJulesburg, CO 80737-1121
Phone 970-522-2264
Mailing address
1441 N 12th StPhoenix, AZ 85006-2837
Authorized official
Dennis Dahlen
Sr Vp Finance
6027474000
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