Active NPI
North Colorado Medical Center
- Critical Access Hospital
- Greeley, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- Legal business name
- NORTH COLORADO MEDICAL CENTER
- Practice address
- 2001 70TH Ave
Greeley, CO 80634-4621 - Phone
- (970) 810-2500
- NPI assigned
- Jan 14, 2020
- Last updated
- Dec 29, 2021
- 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 Laraway
- Title
- Cfo
- Phone
- (602) 747-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | NU | Primary |
Addresses
Primary practice location
2001 70TH Ave
Greeley, CO 80634-4621
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1831739267. 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
- Corporation
- Enrollment address
- 1801 16TH St
Greeley, CO 80631-5154 - 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.
-
- General Acute Care Hospital
- Loveland, CO
- NPI 1174231682
O20090119000071
-
- General Acute Care Hospital
- Greeley, CO
- NPI 1477376986
O20090119000071
-
- Emergency Care Clinic/Center
- Greeley, CO
- NPI 1588928519
O20090119000071
-
- Infusion Therapy Clinic/Center
- Loveland, CO
- NPI 1700668183
O20090119000071
-
- General Acute Care Hospital
- Greeley, CO
- NPI 1720004450
O20090119000071
-
dba Mountain Vista
- General Acute Care Hospital
- Greeley, CO
- NPI 1962103622
O20090119000071
Care Compare: Hospital
Medicare Care Compare- Listed as
- Banner North Colorado Medical Center
- Overall star rating
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider Directory- Part of
- Big Horn Family Med
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.
| 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 | |
| Staci Dickerson | Corporate Officer | Jul 17, 2023 | |
| W-2 Managing Employee | Jul 17, 2023 | ||
| Carole Faig | Corporate Director | Mar 1, 2026 | |
| 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, 2018 | |
| Brenda a Schaefer | Corporate Officer | Mar 6, 2014 | |
| Quentin P Smith | Corporate Director | Sep 1, 1999 | |
| Vicki Keiser | Corporate Director | Jun 1, 2017 | |
| Holly Gregory | Corporate Director | Jul 24, 2020 | |
| W-2 Managing Employee | Jul 24, 2020 | ||
| Sara Ward | Corporate Director | Sep 1, 2023 | |
| Alan Qualls | Corporate Officer | Feb 7, 2022 | |
| W-2 Managing Employee | Feb 7, 2022 | ||
| Michael L Butler | Corporate Director | Sep 1, 2025 | |
| 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 | 5% Or Greater Direct Ownership Interest | Aug 15, 2007 | 100% |
| Operational/Managerial Control | May 1, 2003 | 100% |
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 Hospice of Northern Colorado
- Community Based Hospice Care Agency
- Greeley, CO
- NPI 1407409964
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Banner Fort Collins Medical Center
- General Acute Care Hospital
- Fort Collins, CO
- NPI 1659787554
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Banner Casa Grande Medical Center
- General Acute Care Hospital
- Casa Grande, AZ
- NPI 1003232976
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Banner Payson Medical Center
- Critical Access Hospital
- Payson, AZ
- NPI 1063923340
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
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
-
- Multi-Specialty Clinic/Center
- Susanville, CA
- NPI 1205267549
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
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
-
- Radiology Clinic/Center
- Susanville, CA
- NPI 1427740570
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Durable Medical Equipment & Medical Supplies
- Casper, WY
- NPI 1528846912
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Banner Payson Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Payson, AZ
- NPI 1861077414
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Banner Ocotillo Medical Center
- General Acute Care Hospital
- Chandler, AZ
- NPI 1972139004
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Practitioners & affiliated clinicians
Affiliated clinicians 542
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Physical Medicine & Rehabilitation Physician
- Fort Collins, CO
- NPI 1164089058
Hospital
-
- Hospitalist Physician
- Denver, CO
- NPI 1386790962
-
- Anatomic Pathology & Clinical Pathology Physician
- Loveland, CO
- NPI 1831246719
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640736000000",
"number": "1831739267",
"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",
"city": "GREELEY",
"state": "CO",
"postal_code": "806344621",
"telephone_number": "970-810-2500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH COLORADO MEDICAL CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BANNER HEALTH",
"enumeration_date": "2020-01-14",
"last_updated": "2021-12-29",
"certification_date": "2021-12-29",
"status": "A",
"authorized_official_last_name": "LARAWAY",
"authorized_official_first_name": "DENNIS",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "602-747-4000"
},
"taxonomies": [
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greeley, CO
- North Colorado Medical Center
- North Colorado Medical Center
- North Colorado Medical Center (Banner Home Care)
- North Colorado Medical Center
- North Colorado Medical Center
- North Colorado Medical Center
- North Colorado Medical Center
- North Colorado Medical Center
- North Colorado Medical Center
- North Colorado Medical Center (Mountain Vista)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.