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Organization
NORTH COLORADO MEDICAL CENTER
Active
Organization
NORTH COLORADO MEDICAL CENTER
Active
Other names
Banner Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS LARAWAY (CFO)
(602) 747-4000
Entity
Organization
Contact information
Practice address
2010 16TH ST, GREELEY, CO 80631-5188
(970) 350-6222
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05701289
—
CO
Enumeration date
06/13/2006
Last updated
12/29/2021
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