Banner Hospital Based Physicians Colorado Llc

Specialty details in registry · Greeley, CO

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At a glance

1801 16Th St, Greeley, CO 80631-5154

NPPES record updated Apr 13, 2026. Public records can lag behind changes at a practice.

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  • Do you accept my specific insurance plan?
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Insurance participation and appointment availability are not established by these public records.

Practice location

1801 16Th St
Greeley, CO 80631-5154

Additional reported practice locations

1800 15Th St Ste 130
Greeley, CO 806314595
Phone: 9708103894
4700 Lady Moon Dr
Fort Collins, CO 805284426
Phone: 9708214000
2400 Edison St
Brush, CO 807231640
Phone: 9708426200
2000 Boise Ave
Loveland, CO 805385006
Phone: 9708204640
Professional details: NPI, taxonomy & registry record
NPI1154679637
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QM1300X
Enumeration date
Aug 15, 2012
Record updated
Apr 13, 2026
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QM1300X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1801 16Th St
Greeley, CO 80631-5154
Phone
(970) 392-2135
Mailing address
2901 N CENTRAL AVE STE 160

PHOENIX, AZ 850122702
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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