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Contact Information

BANNER HEALTH PHYSICIANS COLORADO LLC
909 E RAILROAD AVE STE 102
FORT MORGAN, CO80701-3301
 Phone: 970-542-4710
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
Indicates primary specialty

NPI Profile & details for BANNER HEALTH PHYSICIANS COLORADO LLC

NPI Number 1861750325
LBN Legal business name BANNER HEALTH PHYSICIANS COLORADO LLC
Authorized official SHIVA BIRDI - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/02/2012
Last updated 04/20/2026 - About 2 months 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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