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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
2001 70TH AVE STE 221, GREELEY, CO 80634-4628
(970) 810-5454
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
02/16/2023
Last updated
04/17/2026
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