# BANNER OCCUPATIONAL HEALTH COLORADO LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BANNER MEDICAL GROUP COLORADO
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1669724134
- **Legal business name:** BANNER MEDICAL GROUP COLORADO
- **Authorized official:** PATRICK PENROSE (VP)
- **Authorized official phone:** (602) 747-4000

## Contact information

- **Practice address:** 1517 16TH AVENUE CT, GREELEY, CO 80631-4574
- **Practice address phone:** (970) 350-6810
- **Mailing address:** 1441 N 12TH ST, PHOENIX, AZ 85006-2837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/09/2012
- **Last updated:** 04/17/2026