Banner Cancer Center Specialists Colorado LLC
Organization Active NPI Oncology Clinic/Center · Loveland, CO
NPI 1962985366 · NPPES record last updated Sep 11, 2018
Key facts
- NPI
- 1962985366
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oncology Clinic/Center 261QX0200X
- Legal business name
- BANNER CANCER CENTER SPECIALISTS COLORADO LLC
- Practice address
- 2000 Boise Ave
Loveland, CO 80538-5006 - Phone
- (970) 820-4640
- Fax
- (970) 230-2512
- NPI assigned
- Sep 11, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- BANNER MEDICAL GROUP COLORADO
Authorized official
- Name
- Dennis Laraway
- Title
- Cfo
- Phone
- (602) 747-4000
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Banner Cancer Center Specialists Colorado LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Clinic/Center | 261QX0200X | Yes |
Addresses
Primary practice location
2000 Boise Ave
Loveland, CO 80538-5006
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Other providers in Loveland, CO
- Bianca Balogh
- Srinivas Bandi
- David M Banford
- Banner Anesthesiologists Colorado LLC
- Banner Cancer Center Specialists Colorado LLC
- Banner Fort Collins PCP LLC
- Banner Greeley Specialists
- Banner Health
- Banner Health
- Banner Health Physicians Colorado LLC
All providers in Loveland, CO · Oncology Clinic/Center in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.