BANNER HEALTH PHYSICIANS COLORADO LLC; NPI #1114204542

Contact Information

BANNER HEALTH PHYSICIANS COLORADO LLC

2400 EDISON ST STE 102
BRUSH, CO 80723-1640

Phone: 970-842-6262
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Multi-Specialty	261QM1300X	70	Clinic or Group Practice

Indicates primary specialty

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NPI Profile & details for BANNER HEALTH PHYSICIANS COLORADO LLC

NPI #	`1114204542`
LBN Legal business name	BANNER HEALTH PHYSICIANS COLORADO LLC
Authorized official	SHIVA BIRDI - (CEO)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	11/14/2011
Last updated	03/10/2025 - More than a year ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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