NCMC Student Health Center

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

NCMC STUDENT HEALTH CENTER

Practice address

1901 10TH Ave
Greeley, CO 80639-5545

Phone

(970) 351-2412

NPI assigned

Jun 30, 2006

Organization subpart

Yes

Parent organization

BANNER HEALTHAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dennis Dahlen

Title

Sr Vice President Finance

Phone

(602) 747-4000

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

NCMC Student Health Center2 organizations share this tax ID, including this one

Part of

M E Lee MD

Other organizations with this tax ID 1

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

• Univ of N Co Student HLTH Ctr

  • Clinic Pharmacy
  • Greeley, CO
  • NPI 1518060672
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Banner Health

  • Critical Access Hospital
  • Payson, AZ
  • NPI 1063923340

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192924800000",
    "number": "1376571976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 N 12TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 10TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806395545",
            "telephone_number": "970-351-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NCMC STUDENT HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER HEALTH",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-10-21",
        "status": "A",
        "authorized_official_last_name": "DAHLEN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "SR VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07257864",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NCMC Specialty Clinic
• NCMC Specialty Clinic
• NCMC Specialty Clinic
• NCMC Specialty Clinic
• NCMC Specialty Clinic
• Kathleen R. Neal, M.D.
• Jacqueline A Neale
• Jerica Lynn Nealy
• Nec Greeley Emergency Center
• Hannah Amber Neddermeyer

• Student Health Clinic/Center in Greeley, CO
• Providers in Greeley, CO by specialty
• Student Health Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.