Active NPI
Banner Greeley Specialists
- Multi-Specialty Clinic/Center
- Greeley, CO
National Provider Identifier
1659694743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- BANNER GREELEY SPECIALISTS
- Practice address
- 5890 W 13TH St
Ste 106
Greeley, CO 80634-4821 - Phone
- (970) 378-1000
- NPI assigned
- Mar 4, 2010
- 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
- Dennis Dahlen
- Title
- Sr VP Finance
- Phone
- (602) 747-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
5890 W 13TH St
Ste 106
Greeley, CO 80634-4821
Mailing address
1441 N 12TH St
Phoenix, AZ 85006-2837
National Provider Directory
National Provider Directory- Part of
- M E Lee MD
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1267660800000",
"number": "1659694743",
"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": "5890 W 13TH ST",
"address_2": "STE 106",
"city": "GREELEY",
"state": "CO",
"postal_code": "806344821",
"telephone_number": "970-378-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BANNER GREELEY SPECIALISTS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BANNER HEALTH",
"enumeration_date": "2010-03-04",
"last_updated": "2010-03-04",
"status": "A",
"authorized_official_last_name": "DAHLEN",
"authorized_official_first_name": "DENNIS",
"authorized_official_title_or_position": "SR VP FINANCE",
"authorized_official_telephone_number": "602-747-4000"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.