NPIMap

Organization Active NPI

North Colorado Medical Center

  • General Acute Care Hospital
  • Greeley, CO
National Provider Identifier
1720004450
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0180 Issued in CO
Legal business name
NORTH COLORADO MEDICAL CENTER
Practice address
1801 16TH St
Greeley, CO 80631-5154
Phone
(970) 352-4121
NPI assigned
Jul 14, 2006
Last updated
Sep 25, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
BANNER HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X
Clinic/Center 261Q00000X
Infusion Therapy Clinic/Center 261QI0500X
Sleep Disorder Diagnostic Clinic/Center 261QS1200X
Oncology Clinic/Center 261QX0200X
General Acute Care Hospital 282N00000X 0180 CO Primary

Addresses

Primary practice location

1801 16TH St
Greeley, CO 80631-5154

Mailing address

2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Phone (602) 747-4000

Other practice location 1

1800 15th St Ste 130
Greeley, CO 80631-4595
Phone (970) 810-3894

Other practice location 2

1805 E 18th St Ste 7 & 8
Loveland, CO 80538-4237
Phone (970) 820-4171

Other practice location 3

1805 E 18th St Ste 9
Loveland, CO 80538-4237
Phone (970) 820-1970

Other practice location 4

2001 70th Ave Ste 102
Greeley, CO 80634-4628
Phone (970) 810-2600

Other practice location 5

5890 W 13th St Ste 110
Greeley, CO 80634-4821
Phone (970) 356-4567

Other practice location 6

1517 16th Ave Ct 2nd Floor
Greeley, CO 80631-4574
Phone (970) 810-6900

Other practice location 7

1632 Hoffman Dr
Loveland, CO 80538-4337
Phone (970) 820-3720

Other identifiers 4

IdentifierTypeStateIssuer
05001003MedicaidCO
06060222MedicaidCO
81608322MedicaidCO
109616800MedicaidWY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Servic Other Bluemark LLC / Office Ally

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090119000071 CO Part A Provider - Hospital 8123938420 11 other NPIs on this enrollment
Practice locations: Greeley, CO; Loveland, CO
O20251028003616 CO Part A Provider - Hospital 8123938420 1 other NPI on this enrollment
Practice locations: Loveland, CO

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1720004450. Details of each certification follow.

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
CorporationNon-profit
Enrollment address
1801 16TH St
Greeley, CO 80631-5154
Main/Primary Hospital Location
Hospital subgroups
Acute care, Short-term, Specialty hospital

Hospital certification: CCN 6000100

Legal name
NORTH COLORADO MEDICAL CENTER
Doing business as
BANNER SAME-DAY CARE
Organization structure
CorporationNon-profit
Enrollment address
2000 Boise Ave
Loveland, CO 80538-5006
Hospital subgroups
Acute care, Short-term, Specialty hospital

Other NPIs on the same Medicare enrollment 11

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Banner North Colorado Medical CenterCCN 060001 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Custer Comm Hosp Rad

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

11234 Anderson St
Ste 2532
Loma Linda, CA 92350

1517 16th Avenue Ct
Fl 2
Greeley, CO 80631
Phone (970) 810-6900

1800 15th St
Ste 130
Greeley, CO 80631
Phone (970) 350-5996

6512 S McCarran Blvd
Ste D
Reno, NV 89509
Phone (775) 826-1285

Ownership & related parties

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 OfficerOfficer Feb 1, 2022
Marjorie J Bessel Individual Corporate OfficerOfficer Jan 1, 2018
Jean Lance Individual Corporate OfficerClo Jun 30, 2022
Staci Dickerson Individual Corporate OfficerCfo Jul 17, 2023
W-2 Managing Employee Jul 17, 2023
Carole Faig Individual Corporate DirectorBoard Member Mar 1, 2026
Paris Labruzzo Individual Corporate DirectorSr Director Dec 7, 2022
W-2 Managing Employee Dec 7, 2022
Corporate OfficerSr Director Dec 7, 2022
Dean M Harrison Individual Corporate DirectorBoard Member Sep 1, 2023
Anne Mariucci Individual Corporate DirectorBoard Member Mar 1, 2015
Sujata Gosalia Individual Corporate DirectorDirector Sep 1, 2018
Brenda a Schaefer Individual Corporate OfficerTreasurer Mar 6, 2014
Quentin P Smith Individual Corporate DirectorBoard Member Sep 1, 1999
Corporate DirectorChairman of the Board Sep 1, 1999
Vicki Keiser Individual Corporate DirectorDirector Jun 1, 2017
Holly Gregory Individual Corporate DirectorSr Manager Jul 24, 2020
W-2 Managing EmployeeSr Manager Jul 24, 2020
Sara Ward Individual Corporate DirectorBoard Member Sep 1, 2023
Corporate DirectorBoard Director Sep 1, 2023
Alan Qualls Individual Corporate OfficerHospital Ceo Feb 7, 2022
W-2 Managing EmployeeHospital Ceo Feb 7, 2022
Michael L Butler Individual Corporate DirectorBoard Member Sep 1, 2025
Mary Schubert Individual Corporate OfficerAssistant Secretary Jan 1, 2024
Amy Perry Individual Corporate OfficerOfficer Nov 1, 2021
Rick Myers Individual Corporate DirectorDirector Sep 1, 2023
John F Koster Individual Corporate DirectorBoard Member Dec 11, 2015
Mark Wallace Individual Corporate DirectorDirector Sep 1, 2021
Christopher H Volk Individual Corporate DirectorBoard Member Dec 9, 2009
Michael Garnreiter Individual Corporate DirectorBoard 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%
Operational/Managerial Control Aug 15, 2007 100%

Owners & managing parties with NPI records 12

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

  • Banner Health

    dba Banner Hospice of Northern Colorado

    • Community Based Hospice Care Agency
    • Greeley, CO
    • NPI 1407409964

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Banner Health

    dba Banner Fort Collins Medical Center

    • General Acute Care Hospital
    • Fort Collins, CO
    • NPI 1659787554

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Banner Health

    dba Banner Casa Grande Medical Center

    • General Acute Care Hospital
    • Casa Grande, AZ
    • NPI 1003232976

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Banner Health

    dba Banner Payson Medical Center

    • Critical Access Hospital
    • Payson, AZ
    • NPI 1063923340

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Banner Health

    dba Banner Payson Medical Center - Banner Health Clinic Payson

    • Rural Health Clinic/Center
    • Payson, AZ
    • NPI 1073223012

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Banner Health
    • Multi-Specialty Clinic/Center
    • Susanville, CA
    • NPI 1205267549

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Banner Health

    dba Banner Payson Medical Center - Banner Health Clinic Pine

    • Rural Health Clinic/Center
    • Pine, AZ
    • NPI 1245940287

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Banner Health
    • Radiology Clinic/Center
    • Susanville, CA
    • NPI 1427740570

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Banner Health
    • Durable Medical Equipment & Medical Supplies
    • Casper, WY
    • NPI 1528846912

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Banner Health

    dba Banner Payson Medical Center

    • Medicare Defined Swing Bed Hospital Unit
    • Payson, AZ
    • NPI 1861077414

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Banner Health

    dba Banner Ocotillo Medical Center

    • General Acute Care Hospital
    • Chandler, AZ
    • NPI 1972139004

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Marjorie Bessel, MD
    • Internal Medicine Physician
    • Gilbert, AZ
    • NPI 1710002068

    Corporate Officer

    CMS ownership

Facilities with the same owner 59

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 59

Practitioners & affiliated clinicians

Practitioners 88

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.

View all 88

Affiliated clinicians 542

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

View all 542

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790294400000",
    "number": "1720004450",
    "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",
            "telephone_number": "602-747-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 16TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806315154",
            "telephone_number": "970-352-4121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 15th St Ste 130",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806314595",
            "country_code": "US",
            "telephone_number": "970-810-3894",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1805 E 18th St Ste 7 & 8",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805384237",
            "country_code": "US",
            "telephone_number": "970-820-4171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1805 E 18th St Ste 9",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805384237",
            "country_code": "US",
            "telephone_number": "970-820-1970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 70th Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806344628",
            "country_code": "US",
            "telephone_number": "970-810-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5890 W 13th St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806344821",
            "country_code": "US",
            "telephone_number": "970-356-4567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1517 16th Ave Ct 2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806314574",
            "country_code": "US",
            "telephone_number": "970-810-6900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1632 Hoffman Dr",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805384337",
            "country_code": "US",
            "telephone_number": "970-820-3720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH COLORADO MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER HEALTH",
        "enumeration_date": "2006-07-14",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A",
        "authorized_official_last_name": "QUALLS",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-810-4121"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CO",
            "license": "0180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05001003",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06060222",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81608322",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109616800",
            "state": "WY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Servic",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.