BANNER MOUNTAIN VISTA ORTHOPAEDIC MEDICAL CLINIC; NPI #1811252125

Contact Information

BANNER MOUNTAIN VISTA ORTHOPAEDIC MEDICAL CLINIC

1300 MAIN ST
WINDSOR, CO 80550-5989

Phone: 970-348-0020
Fax: 970-348-0055
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 MOUNTAIN VISTA ORTHOPAEDIC MEDICAL CLINIC

NPI Number	`1811252125`
LBN Legal business name	BANNER MOUNTAIN VISTA ORTHOPAEDIC MEDICAL CLINIC
Authorized official	DENNIS DAHLEN - (SR VP FINANCE)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	07/12/2012
Last updated	07/12/2012 - About 14 years 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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