Organization
BANNER HEALTH
Active
Other names
BANNER HOSPICE OF NORTHERN COLORADO
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL WALTER FUNK (CEO)
(602) 747-4000
Entity
Organization
Contact information
Practice address
2001 70TH AVE STE 100, GREELEY, CO 80634-4628
(970) 352-8487
(970) 475-0037
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
(602) 747-4000
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
01/31/2025
Last updated
04/20/2026
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