Organization
NORTH COLORADO MEDICAL CENTER
Active
Other names
Banner Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS LARAWAY (CFO)
(602) 747-4000
Entity
Organization
Contact information
Practice address
2010 16TH ST, GREELEY, CO 80631-5188
(970) 350-6222
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05701289
—
CO
Enumeration date
06/13/2006
Last updated
12/29/2021
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