North Colorado Medical Center

Organization Active NPI Infusion Therapy Clinic/Center · Loveland, CO

NPI 1700668183 · NPPES record last updated Oct 19, 2023

Key facts

NPI
1700668183
Entity type
Organization (NPI type 2)
Primary specialty
Infusion Therapy Clinic/Center 261QI0500X
Legal business name
NORTH COLORADO MEDICAL CENTER
Practice address
2000 Boise Ave Ste B
Loveland, CO 80538-5006
Phone
(970) 810-3894
NPI assigned
Oct 19, 2023
Organization subpart
Yes
Parent organization (as reported)
BANNER HEALTH

Authorized official

Name
Alan Qualls
Title
Ceo
Phone
(970) 810-4121

Owners & managing parties with NPI records 12

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Affiliated clinicians 542

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 542

Medicare Care Compare: Hospital

Listed as
Banner North Colorado Medical Center CCN 060001
Overall star rating
★★★★☆ 4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO

Hospital certification: CCN 060001

Legal name
NORTH COLORADO MEDICAL CENTER
Doing business as
BANNER NORTH COLORADO MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 31, 2025
Beds
378
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jan 1, 1995 (1 total)
Organization structure
Corporation · Non-profit
Enrollment address
1801 16TH St
Greeley, CO 80631-5154
Main/Primary Hospital Location
Hospital subgroups
Acute care, Short-term, Specialty hospital

All disclosed owners & managing parties 24

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Julie Ann Alvarado-Dubek
Individual
Corporate Officer
Officer
Feb 1, 2022
Marjorie J Bessel
Individual
Corporate Officer
Officer
Jan 1, 2018
Jean Lance
Individual
Corporate Officer
Clo
Jun 30, 2022
Staci Dickerson
Individual
Corporate Officer
Cfo
Jul 17, 2023
W-2 Managing Employee Jul 17, 2023
Carole Faig
Individual
Corporate Director
Board Member
Mar 1, 2026
Paris Labruzzo
Individual
Corporate Director
Sr Director
Dec 7, 2022
W-2 Managing Employee Dec 7, 2022
Dean M Harrison
Individual
Corporate Director
Board Member
Sep 1, 2023
Anne Mariucci
Individual
Corporate Director
Board Member
Mar 1, 2015
Sujata Gosalia
Individual
Corporate Director
Director
Sep 1, 2018
Brenda a Schaefer
Individual
Corporate Officer
Treasurer
Mar 6, 2014
Quentin P Smith
Individual
Corporate Director
Board Member
Sep 1, 1999
Vicki Keiser
Individual
Corporate Director
Director
Jun 1, 2017
Holly Gregory
Individual
Corporate Director
Sr Manager
Jul 24, 2020
W-2 Managing Employee
Sr Manager
Jul 24, 2020
Sara Ward
Individual
Corporate Director
Board Member
Sep 1, 2023
Alan Qualls
Individual
Corporate Officer
Hospital Ceo
Feb 7, 2022
W-2 Managing Employee
Hospital Ceo
Feb 7, 2022
Michael L Butler
Individual
Corporate Director
Board Member
Sep 1, 2025
Mary Schubert
Individual
Corporate Officer
Assistant Secretary
Jan 1, 2024
Amy Perry
Individual
Corporate Officer
Officer
Nov 1, 2021
Rick Myers
Individual
Corporate Director
Director
Sep 1, 2023
John F Koster
Individual
Corporate Director
Board Member
Dec 11, 2015
Mark Wallace
Individual
Corporate Director
Director
Sep 1, 2021
Christopher H Volk
Individual
Corporate Director
Board Member
Dec 9, 2009
Michael Garnreiter
Individual
Corporate Director
Board Member
Aug 1, 2012
Banner Health
Organization · Phoenix, AZ
Corporation, Non-profit, Chain home office
5% Or Greater Direct Ownership Interest Aug 15, 2007 100%
Operational/Managerial Control May 1, 2003 100%

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20090119000071 CO Part a Provider - Hospital 8123938420 11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Greeley, CO; Loveland, CO

National Provider Directory

Part of
M E Lee MD

Locations

2000 Boise Ave
Ste B
Loveland, CO 80538
Phone (970) 810-3894

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Yes
General Acute Care Hospital 282N00000X

Addresses

Primary practice location

2000 Boise Ave Ste B
Loveland, CO 80538-5006

Mailing address

2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702

Other providers in Loveland, CO

All providers in Loveland, CO · Infusion Therapy Clinic/Center in Colorado

Sources for this page

Verify at the official NPI Registry.