Organization
BANNER HEALTH
Active
Parent organization
BANNER HEALTH
Other names
Banner Fort Collins Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
DENNIS LARAWAY (CFO)
(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
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Enumeration date
12/01/2017
Last updated
01/31/2022
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