Active NPI
Banner Health
- Community Based Hospice Care Agency
- Greeley, CO
National Provider Identifier
1861205908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- BANNER HEALTH
- Practice address
- 2001 70TH Ave Ste 100
Greeley, CO 80634-4628 - Phone
- (970) 352-8487
- Fax
- (970) 475-0037
- NPI assigned
- Jan 31, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Russell Walter Funk
- Title
- Ceo
- Phone
- (602) 747-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
2001 70TH Ave Ste 100
Greeley, CO 80634-4628
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Phone (602) 747-4000
Other names 1
- BANNER HOSPICE OF NORTHERN COLORADO
National Provider Directory
National Provider Directory- Tax ID family
- M E Lee MD
Other organizations with this tax ID 27
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Fort Collins, CO
- NPI 1538688239
-
- Ambulance
- Fort Collins, CO
- NPI 1124532924
-
- Community Based Hospice Care Agency
- Greeley, CO
- NPI 1407409964
-
- General Acute Care Hospital
- Fort Collins, CO
- NPI 1659787554
-
- Multi-Specialty Clinic/Center
- Fort Collins, CO
- NPI 1093005845
-
- Nursing Care Agency
- Phoenix, AZ
- NPI 1538584628
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1598927592
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1013130145
-
- Critical Access Hospital
- Payson, AZ
- NPI 1063923340
-
- Multi-Specialty Clinic/Center
- Susanville, CA
- NPI 1205267549
-
- Rural Health Clinic/Center
- Pine, AZ
- NPI 1245940287
-
- Non-Pharmacy Dispensing Site
- Phoenix, AZ
- NPI 1316358013
Locations
2001 70th Ave
Ste 100
Greeley, CO 80634
Phone (970) 352-8487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776643200000",
"number": "1861205908",
"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": "2001 70TH AVE STE 100",
"city": "GREELEY",
"state": "CO",
"postal_code": "806344628",
"telephone_number": "970-352-8487",
"fax_number": "970-475-0037"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BANNER HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-31",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A",
"authorized_official_last_name": "FUNK",
"authorized_official_first_name": "RUSSELL",
"authorized_official_middle_name": "WALTER",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "602-747-4000"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BANNER HOSPICE OF NORTHERN COLORADO",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.