Active NPI
Banner Health
Doing business as Banner Hospice of Northern Colorado
- Community Based Hospice Care Agency
- Greeley, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- BANNER HEALTH
- Practice address
- 2001 70TH Ave Ste 100
Greeley, CO 80634-4628 - Phone
- (970) 352-8487
- Fax
- (970) 475-0037
- NPI assigned
- Jul 23, 2019
- Last updated
- Apr 16, 2026
- Organization subpart
- Yes
- Parent organization
- BANNER HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Russell Funk
- Title
- Ceo
- Phone
- (602) 747-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary |
Addresses
Primary practice location
2001 70TH Ave Ste 100
Greeley, CO 80634-4628
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Other names 1
- Banner Hospice of Northern Colorado
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190730000432 | CO | Part A Provider - Hospice | 9537078365 | Practice locations: Greeley, CO |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1407409964. Details of each certification follow.
Hospice certification: CCN 061503
- Legal name
- BANNER HEALTH
- Doing business as
- BANNER HOSPICE OF NORTHERN COLORADO
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jan 3, 1984
- Last certification
- Jan 7, 2021
- Ownership / control type
- Non-Profit - Other
- Organization structure
- Corporation
- Incorporated
- Jun 28, 2001 in AZ
- Enrollment address
- 2001 70TH Ave
Ste 100
Greeley, CO 80634-4628
Other NPIs with the same Medicare PAC ID 10
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Banner Fort Collins Medical Center
- General Acute Care Hospital
- Fort Collins, CO
- NPI 1659787554
9537078365
-
dba Banner Casa Grande Medical Center
- General Acute Care Hospital
- Casa Grande, AZ
- NPI 1003232976
9537078365
-
dba Banner Payson Medical Center
- Critical Access Hospital
- Payson, AZ
- NPI 1063923340
9537078365
-
dba Banner Payson Medical Center - Banner Health Clinic Payson
- Rural Health Clinic/Center
- Payson, AZ
- NPI 1073223012
9537078365
-
dba Banner Payson Medical Center - Banner Health Clinic Pine
- Rural Health Clinic/Center
- Pine, AZ
- NPI 1245940287
9537078365
-
dba Banner Payson Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Payson, AZ
- NPI 1861077414
9537078365
-
dba Banner Ocotillo Medical Center
- General Acute Care Hospital
- Chandler, AZ
- NPI 1972139004
9537078365
Care Compare: Hospice
Medicare Care Compare- Listed as
- Banner Hospice of Northern Colorado
- Ownership
- Non-Profit
- Certified
- Jan 3, 1984
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Big Horn Family Med
- Part of
- Big Horn Family Med
Other organizations with this tax ID 27
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Fort Collins, CO
- NPI 1538688239
-
dba Banner Fort Collins Medical Center
- General Acute Care Hospital
- Fort Collins, CO
- NPI 1659787554
-
dba Banner Hospice of Northern Colorado
- Community Based Hospice Care Agency
- Greeley, CO
- NPI 1861205908
-
- Multi-Specialty Clinic/Center
- Fort Collins, CO
- NPI 1093005845
-
- Nursing Care Agency
- Phoenix, AZ
- NPI 1538584628
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1598927592
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1013130145
-
- Multi-Specialty Clinic/Center
- Susanville, CA
- NPI 1205267549
-
dba Banner Payson Medical Center - Banner Health Clinic Pine
- Rural Health Clinic/Center
- Pine, AZ
- NPI 1245940287
-
dba Good Samaritan Medicine Residency 12th St
- Non-Pharmacy Dispensing Site
- Phoenix, AZ
- NPI 1316358013
Member organizations 366
Organizations listed as members of this organization in the National Provider Directory.
-
- Multi-Specialty Clinic/Center
- Greeley, CO
- NPI 1538408893
Member Of
-
- Oncology Clinic/Center
- Greeley, CO
- NPI 1073096475
Member Of
-
- Multi-Specialty Clinic/Center
- Greeley, CO
- NPI 1073899134
Member Of
-
- Multi-Specialty Clinic/Center
- Loveland, CO
- NPI 1588941033
Member Of
-
- Durable Medical Equipment & Medical Supplies
- Greeley, CO
- NPI 1144268525
Member Of
-
- Durable Medical Equipment & Medical Supplies
- Greeley, CO
- NPI 1760429013
Member Of
Locations
2001 70th Ave
Ste 100
Greeley, CO 80634
Phone (970) 352-8487
5628 19th St
Ste 2
Greeley, CO 80634
Phone (970) 352-8487
Ownership & related parties
All disclosed owners & managing parties 26
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Julie Ann Alvarado-Dubek | Corporate Officer | Feb 1, 2022 | |
| Marjorie J Bessel | Corporate Officer | Jan 1, 2018 | |
| Jean Lance | Corporate Officer | Jun 30, 2022 | |
| Todd S Werner | Corporate Director | Jun 30, 2022 | |
| W-2 Managing Employee | Jun 30, 2022 | ||
| Chasity Shea Epperly | Corporate Director | Apr 1, 2024 | |
| W-2 Managing Employee | Apr 1, 2024 | ||
| Paris Labruzzo | Corporate Director | Dec 7, 2022 | |
| W-2 Managing Employee | Dec 7, 2022 | ||
| Dean M Harrison | Corporate Director | Sep 1, 2023 | |
| Anne Mariucci | Corporate Director | Mar 1, 2015 | |
| Sujata Gosalia | Corporate Director | Sep 1, 2019 | |
| Brenda a Schaefer | Corporate Officer | Mar 6, 2014 | |
| Quentin P Smith | Corporate Director | Sep 1, 1999 | |
| Gilbert R Davila | Corporate Director | Dec 1, 2005 | |
| Vicki Keiser | Corporate Director | Jun 1, 2017 | |
| Charles David Kikumoto | Corporate Director | Aug 1, 2012 | |
| Scott Nordlund | Corporate Officer | Jan 1, 2019 | |
| Holly Gregory | Corporate Director | Jul 24, 2020 | |
| W-2 Managing Employee | Jul 24, 2020 | ||
| Sara Ward | Corporate Director | Sep 1, 2023 | |
| Christine Rosini | Corporate Director | Jul 24, 2020 | |
| W-2 Managing Employee | Jul 24, 2020 | ||
| Mary Schubert | Corporate Officer | Jan 1, 2024 | |
| Amy Perry | Corporate Officer | Nov 1, 2021 | |
| Rick Myers | Corporate Director | Sep 1, 2023 | |
| John F Koster | Corporate Director | Dec 11, 2015 | |
| Mark Wallace | Corporate Director | Sep 1, 2021 | |
| Christopher H Volk | Corporate Director | Dec 9, 2009 | |
| Michael Garnreiter | Corporate Director | Aug 1, 2012 | |
| Banner Health | Operational/Managerial Control | Apr 8, 2019 |
Owners & managing parties with NPI records 12
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Banner Fort Collins Medical Center
- General Acute Care Hospital
- Fort Collins, CO
- NPI 1659787554
Operational/Managerial Control
-
- Family Medicine Physician
- Colorado Springs, CO
- NPI 1609095470
Corporate Director, W-2 Managing Employee
-
dba Banner Casa Grande Medical Center
- General Acute Care Hospital
- Casa Grande, AZ
- NPI 1003232976
Operational/Managerial Control
-
dba Banner Payson Medical Center
- Critical Access Hospital
- Payson, AZ
- NPI 1063923340
Operational/Managerial Control
-
dba Banner Payson Medical Center - Banner Health Clinic Payson
- Rural Health Clinic/Center
- Payson, AZ
- NPI 1073223012
Operational/Managerial Control
-
- Multi-Specialty Clinic/Center
- Susanville, CA
- NPI 1205267549
Operational/Managerial Control
-
dba Banner Payson Medical Center - Banner Health Clinic Pine
- Rural Health Clinic/Center
- Pine, AZ
- NPI 1245940287
Operational/Managerial Control
-
- Durable Medical Equipment & Medical Supplies
- Casper, WY
- NPI 1528846912
Operational/Managerial Control
-
dba Banner Payson Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Payson, AZ
- NPI 1861077414
Operational/Managerial Control
-
dba Banner Ocotillo Medical Center
- General Acute Care Hospital
- Chandler, AZ
- NPI 1972139004
Operational/Managerial Control
All facility ownership & control disclosures 60
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Banner - University Medical Center Phoenix | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
May 1, 2003 May 1, 2003 |
| Banner Desert Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Sep 1, 1999 Sep 1, 1999 |
| Banner Thunderbird Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
May 1, 2003 May 1, 2003 |
| Banner Heart Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Aug 1, 2001 Aug 1, 2001 |
| Banner Baywood Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
May 1, 2003 May 1, 2003 |
| Banner Lassen Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Feb 1, 2003 Feb 1, 2003 |
| Banner Behavioral Health Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Sep 1, 1999 Feb 2, 2015 |
| Banner Estrella Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2004 |
| Platte County Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Oct 1, 2002 Oct 1, 2002 |
| Washakie Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2003 |
| Community Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2003 Mar 18, 2015 |
| Banner Gateway Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Aug 15, 2007 |
| Community Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2003 Jan 22, 2015 |
| Banner Boswell Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2008 |
| Banner del E Webb Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jun 12, 2008 Jun 12, 2008 |
| Banner del E Webb Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Aug 1, 2008 Aug 1, 2008 |
| Wyoming Medical Center Inc | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Oct 1, 2020 |
| Banner North Colorado Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Aug 15, 2007 May 1, 2003 |
| Ogallala Community Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 5, 2009 |
| Ogallala Community Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1987 |
| Sterling Regional Medcenter | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Aug 15, 2007 |
| Banner - University Medical Center Phoenix | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Sep 1, 1999 Sep 1, 1999 |
| Banner Thunderbird Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 1999 |
| Banner Ironwood Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Nov 1, 2010 Nov 1, 2010 |
| Platte County Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Sep 21, 2010 Oct 1, 2002 |
| Page Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Sep 1, 1999 Sep 1, 1999 |
| Page Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Sep 1, 1999 Sep 1, 1999 |
| East Morgan County Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| East Morgan County Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| Banner Goldfield Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
May 15, 2013 May 15, 2013 |
| Washakie Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2013 |
| Banner Casa Grande Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jun 9, 2014 |
| Banner - University Medical Center South Campus LLC | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 31, 2015 |
| Banner - University Medical Center South Campus LLC | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 31, 2015 Jan 31, 2015 |
| Banner - University Medical Center Tucson Campus LLC | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 31, 2015 Jan 31, 2015 |
| Banner Churchill Community Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2015 |
| Banner Health | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Apr 6, 2015 |
| Banner Payson Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2018 |
| Banner Rehabilitation Hospital | Hospital | 5% Or Greater Direct Ownership Interest (49%) | Aug 1, 2020 |
| Banner Ocotillo Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Nov 2, 2020 Nov 2, 2020 |
| Banner Health | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2018 |
| Banner Lassen Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Feb 1, 2003 Feb 1, 2003 |
| Banner Same-Day Care | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Aug 15, 2007 Aug 15, 2007 |
| Banner Home Care-Arizona | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Sep 19, 2007 |
| Banner Home Care Colorado | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2010 |
| Banner Home Care-Arizona | Home health agency | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Aug 1, 2015 Aug 1, 2015 |
| Banner Home Care-Arizona | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Jan 31, 2017 |
| Banner Medical Clinic Torrington | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
May 1, 2017 May 1, 2017 |
| Banner Medical Clinic Guernsey | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
May 1, 2017 May 1, 2017 |
| Banner Medical Clinic Wheatland | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
May 1, 2017 May 1, 2017 |
| Banner Health Clinic Fallon | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2018 Jan 1, 2018 |
| Banner Health Center Fernley | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2018 Jan 1, 2018 |
| Ogallala Community Hospital | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2018 Jan 1, 2018 |
| Banner Health Clinic Fort Morgan | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2018 Jan 1, 2018 |
| Banner Health Center Sterling | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Feb 2, 2015 Feb 2, 2015 |
| Banner Family Care Clinic - Sterling | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2004 Jan 1, 2004 |
| Banner Health Clinic Page | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Feb 1, 2018 Feb 1, 2018 |
| Banner Family Medicine Brush | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2004 Jan 1, 2004 |
| Banner Payson Medical Center - Banner Health Clinic Payson | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2018 |
| Banner Payson Medical Center - Banner Health Clinic Pine | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2018 |
Owned or controlled facilities with NPI records 79
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Banner Fort Collins Medical Center
- General Acute Care Hospital
- Fort Collins, CO
- NPI 1659787554
5% Or Greater Direct Ownership Interest
-
- Rural Health Clinic/Center
- Fort Morgan, CO
- NPI 1003327107
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Banner Family Medicine - Brush
- Rural Health Clinic/Center
- Brush, CO
- NPI 1114637360
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Banner Health Clinic Fort Morgan
- Rural Health Clinic/Center
- Fort Morgan, CO
- NPI 1356051510
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Critical Access Hospital
- Brush, CO
- NPI 1699708743
5% Or Greater Direct Ownership Interest
-
- Rural Health Clinic/Center
- Brush, CO
- NPI 1770094831
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Medicare Defined Swing Bed Hospital Unit
- Brush, CO
- NPI 1881751089
5% Or Greater Direct Ownership Interest
-
- General Acute Care Hospital
- Loveland, CO
- NPI 1174231682
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Critical Access Hospital
- Greeley, CO
- NPI 1255971404
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Ambulance
- Greeley, CO
- NPI 1457850430
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- General Acute Care Hospital
- Greeley, CO
- NPI 1477376986
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Special Hospital
- Loveland, CO
- NPI 1487535431
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Facilities with the same owner 59
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Banner Fort Collins Medical Center
- General Acute Care Hospital
- Fort Collins, CO
- NPI 1659787554
Banner Health
-
dba Banner Family Medicine - Brush
- Rural Health Clinic/Center
- Brush, CO
- NPI 1114637360
Banner Health
-
dba Banner Health Clinic Fort Morgan
- Rural Health Clinic/Center
- Fort Morgan, CO
- NPI 1356051510
Banner Health
-
- Medicare Defined Swing Bed Hospital Unit
- Brush, CO
- NPI 1881751089
Banner Health
-
dba Banner Health Center - Sterling
- Rural Health Clinic/Center
- Sterling, CO
- NPI 1922718113
Banner Health
-
- Psychiatric Hospital Unit
- Phoenix, AZ
- NPI 1629122171
Banner Health
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1841224870
Banner Health
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1558759498
Banner Health
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Apr 8, 2019 | Change of Ownership | Tru Hospice of Northern Colorado |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba TRU Hospice of Northern Colorado
- Community Based Hospice Care Agency
- Greeley, CO
- NPI 1700944717
Acquired from, 2019-04-08
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Anchorage, AK
- NPI 1447915798
Hospice and Palliative Medicine
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776297600000",
"number": "1407409964",
"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": "2001 70TH AVE STE 100",
"city": "GREELEY",
"state": "CO",
"postal_code": "806344628",
"telephone_number": "970-352-8487",
"fax_number": "970-475-0037"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BANNER HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BANNER HEALTH",
"enumeration_date": "2019-07-23",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A",
"authorized_official_last_name": "FUNK",
"authorized_official_first_name": "RUSSELL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "602-747-4000"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Banner Hospice of Northern Colorado",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Banner Hospice of Northern Colorado",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Banner Hospice of Northern Colorado",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Greeley, CO
- Banner Greeley Specialists
- Banner Greeley Specialists
- Banner Greeley Specialists
- Banner Greeley Specialists
- Banner Greeley Specialists
- Banner Health (North Colorado Familly Medicine)
- Banner Health
- Banner Health (Banner Hospice of Northern Colorado)
- 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 Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.