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Organization
BIG THOMPSON MEDICAL GROUP INC.
Active
Organization
BIG THOMPSON MEDICAL GROUP INC.
Active
Parent organization
BANNER HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
DENNIS E DAHLEN (SR VP FINANCE)
(602) 747-4000
Entity
Organization
Contact information
Practice address
2555 E 13TH ST, SUITE 110, LOVELAND, CO 80537-5161
(970) 461-6140
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
98471881
—
CO
Enumeration date
04/27/2011
Last updated
05/09/2011
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