Organization
BANNER HOME MEDICAL EQUIPMENT COLORADO
Active
Parent organization
BANNER HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
RUSSELL FUNK (CEO)
(602) 747-4000
Entity
Organization
Contact information
Practice address
1990 59TH AVE STE 300, GREELEY, CO 80634-9683
(970) 506-6420
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08002925
—
CO
Enumeration date
06/04/2006
Last updated
04/15/2026
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