Banner Health

Organization Active NPI Registered Dietitian · Loveland, CO

NPI 1245601889 · NPPES record last updated Dec 22, 2021

Key facts

NPI
1245601889
Entity type
Organization (NPI type 2)
Primary specialty
Registered Dietitian 133V00000X
License
86010927 (CO)
Legal business name
BANNER HEALTH
Practice address
2000 Boise Ave
Loveland, CO 80538-5006
Phone
(970) 820-6165
NPI assigned
Oct 8, 2015
Organization subpart
No

Authorized official

Name
Dennis Laraway
Title
Cfo
Phone
(602) 747-4000

Corporate family (same tax ID) 14

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

National Provider Directory

Tax ID family
Western Health Network (15 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
133V00000X 86010927 CO Yes

Addresses

Primary practice location

2000 Boise Ave
Loveland, CO 80538-5006

Mailing address

2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Phone (602) 747-4000

Other providers in Loveland, CO

All providers in Loveland, CO · Registered Dietitian in Colorado

Sources for this page

Verify at the official NPI Registry.