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Organization
NCMC STUDENT HEALTH CENTER
Active
Organization
NCMC STUDENT HEALTH CENTER
Active
Parent organization
BANNER HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
DENNIS DAHLEN (SR VICE PRESIDENT FINANCE)
(602) 747-4000
Entity
Organization
Contact information
Practice address
1901 10TH AVE, GREELEY, CO 80639-5545
(970) 351-2412
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/30/2006
Last updated
10/21/2007
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