# NORTH COLORADO MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BANNER HEALTH
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720004450
- **Legal business name:** BANNER HEALTH
- **Authorized official:** ALLAN QUALLS (CEO)
- **Authorized official phone:** (970) 810-4121

## Contact information

- **Practice address:** 1801 16TH ST, GREELEY, CO 80631-5154
- **Practice address phone:** (970) 352-4121
- **Mailing address:** 2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
- **Mailing address phone:** (602) 747-4000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QI0500X | Infusion Therapy Clinic/Center | — | NULL | — |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | — | NULL | — |
| 261QX0200X | Oncology Clinic/Center | — | NULL | — |
| 282N00000X | General Acute Care Hospital | 0180 | CO | Yes |

## Other

- **Enumeration date:** 07/14/2006
- **Last updated:** 09/25/2026