Active NPI
Noco Newco, LLC
- Multi-Specialty Clinic/Center
- Greeley, CO
National Provider Identifier
1710458203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- NOCO NEWCO, LLC
- Practice address
- 2010 16TH St Ste a
Greeley, CO 80631-5188 - Phone
- (970) 810-4475
- NPI assigned
- Dec 10, 2018
- Organization subpart
- Yes
- Parent organization
- BANNER MEDICAL GROUP COLORADO
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dennis Laroway
- Title
- Cfo
- Phone
- (602) 747-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
2010 16TH St Ste a
Greeley, CO 80631-5188
Mailing address
2901 N Central Ave
Phoenix, AZ 85012-2700
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
4700 Lady Moon Dr
Fort Collins, CO 80528
Phone (970) 521-4600
1900 Boise Ave
Ste 420
Loveland, CO 80538
Phone (970) 669-3212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640217600000",
"number": "1710458203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 N CENTRAL AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 16TH ST STE A",
"city": "GREELEY",
"state": "CO",
"postal_code": "806315188",
"telephone_number": "970-810-4475"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOCO NEWCO, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BANNER MEDICAL GROUP COLORADO",
"enumeration_date": "2018-12-10",
"last_updated": "2021-12-23",
"certification_date": "2021-12-23",
"status": "A",
"authorized_official_last_name": "LAROWAY",
"authorized_official_first_name": "DENNIS",
"authorized_official_title_or_position": "CFO",
"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 Dec 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.