Banner Medical Group Greeley LLC
Organization Active NPI Multi-Specialty Clinic/Center · Johnstown, CO
NPI 1386817880 · NPPES record last updated Dec 16, 2008
Key facts
- NPI
- 1386817880
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- BANNER MEDICAL GROUP GREELEY LLC
- Practice address
- 222 Johnstown Center Dr
Johnstown, CO 80534-9030 - Phone
- (970) 587-4974
- NPI assigned
- Apr 7, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- BANNER HEALTH
Authorized official
- Name
- Dennis Dahlen
- Title
- Sr Vice President Finance
- Phone
- (602) 747-4000
Member of 1
Practitioners 45
-
Terra Babcock, P.A.
-
Lance E Barker, D.O.
-
Jacqueline S Bearden, M.D.
-
Susan M Beck, M.D.
-
Cara E. Brown, M.D.
-
John M. Brown, M.D.
-
Richard Lee Budensiek, D.O.
-
Sheryl L Ehrman, F.N.P.
-
Joseph Edwin Gregory, M.D.
-
Thomas L Harms, MD
-
Courtney Beth Isley, M.D.
-
Steven M Kalt, MD
-
Jonathan A Kary, MD
-
Thomas A Kenigsberg, M.D.
-
Marianne Veronica Lyons, D.O.
-
Joan B Martin, M.D.
-
Janis R McCall, M.D.
-
Angela Mills, M.D.
-
Frank D Morgan, M.D.
National Provider Directory
- Part of
- M E Lee MD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
222 Johnstown Center Dr
Johnstown, CO 80534-9030
Mailing address
1441 N 12TH St
Phoenix, AZ 85006-2837
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05725046 | Medicaid | CO |
Other providers in Johnstown, CO
- Revelyn Gilok Arrogante
- Articella, Inc.
- Babble Builders Therapy Solutions LLC
- Ariana Bagley
- Banner Health Physicians Colorado LLC
- Sarah Kay Barksdale
- Madeline Bates
- Bauer Occupational Therapy, LLC
- Bauer Stuttering & Speech Therapy, LLC
- Jennifer Bauer
All providers in Johnstown, CO · Multi-Specialty Clinic/Center in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.