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Banner Fort Collins PCP LLC

Organization Active NPI Multi-Specialty Clinic/Center · Fort Collins, CO

NPI 1013707207 · NPPES record last updated Jul 30, 2025

Key facts

NPI
1013707207
Entity type
Organization (NPI type 2)
Primary specialty
Multi-Specialty Clinic/Center 261QM1300X
Legal business name
BANNER FORT COLLINS PCP LLC
Practice address
3519 Richmond Dr
Fort Collins, CO 80526-5995
Phone
(970) 449-0951
NPI assigned
May 9, 2025
Organization subpart
Yes
Parent organization (as reported)
BANNER HEALTH

Authorized official

Name
Shiva Birdi
Title
Ceo
Phone
(602) 747-4000

Corporate family (same tax ID) 45

Organizations that report the same tax identification number in the National Provider Directory.

View all 45

Practitioners 44

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 44

National Provider Directory

Tax ID family
Banner Health Physicians (46 organizations share this tax ID)
Part of
M E Lee MD

Locations

3519 Richmond Dr
Fort Collins, CO 80526
Phone (970) 204-0300

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Yes
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

3519 Richmond Dr
Fort Collins, CO 80526-5995

Mailing address

2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702

Other providers in Fort Collins, CO

All providers in Fort Collins, CO · Multi-Specialty Clinic/Center in Colorado

Sources for this page

Verify at the official NPI Registry.