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Organization

BANNER HEALTH PHYSICIANS COLORADO LLC

Active
Parent organization
BANNER HEALTH
Organization subpart
Yes

Provider details

NPI number
Legal business name
BANNER HEALTH
Authorized official
SHIVA BIRDI (CEO)
(602) 747-4000
Entity
Organization

Contact information

Practice address
4700 LADY MOON DR, FORT COLLINS, CO 80528-4426
(970) 821-4000
(970) 821-4501
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
(408) 768-3596

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary

Other

Enumeration date
03/12/2026
Last updated
03/12/2026
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