Active NPI
Banner Health
- Community Health Clinic/Center
- Loveland, CO
National Provider Identifier
1154793131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- Legal business name
- BANNER HEALTH
- Practice address
- 2000 Boise Ave
Loveland, CO 80538-5006 - Phone
- (970) 820-6165
- NPI assigned
- Oct 29, 2015
- Last updated
- Dec 10, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dennis Laraway
- Title
- Chief Financial Officer
- Phone
- (602) 747-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | CO | Primary |
Addresses
Primary practice location
2000 Boise Ave
Loveland, CO 80538-5006
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
National Provider Directory
National Provider Directory- Tax ID family
- McKee Med Center Lab
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- General Acute Care Hospital
- Loveland, CO
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- Critical Access Hospital
- Loveland, CO
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- General Acute Care Hospital
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639094400000",
"number": "1154793131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 N CENTRAL AVE STE 160",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 BOISE AVE",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805385006",
"telephone_number": "970-820-6165"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BANNER HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-29",
"last_updated": "2021-12-10",
"certification_date": "2021-12-10",
"status": "A",
"authorized_official_last_name": "LARAWAY",
"authorized_official_first_name": "DENNIS",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "602-747-4000"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "CO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loveland, CO
- Banner Anesthesiologists Colorado LLC
- Banner Cancer Center Specialists Colorado LLC
- Banner Cancer Center Specialists Colorado LLC
- Banner Fort Collins PCP LLC
- Banner Greeley Specialists
- Banner Health
- Banner Health Physicians Colorado LLC
- Banner Health Physicians Colorado LLC
- Banner Health Physicians Colorado LLC
- Banner Health Physicians Colorado LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.