Organization
NORTH COLORADO MEDICAL CENTER
Active
Parent organization
BANNER HEALTH
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
2000 BOISE AVE STE A, LOVELAND, CO 80538-5006
(970) 810-3894
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
12/30/2021
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