# BANNER HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154793131
- **Authorized official:** DENNIS LARAWAY (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (602) 747-4000

## Contact information

- **Practice address:** 2000 BOISE AVE, LOVELAND, CO 80538-5006
- **Practice address phone:** (970) 820-6165
- **Mailing address:** 2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | CO | Yes |

## Other

- **Enumeration date:** 10/29/2015
- **Last updated:** 12/10/2021