BANNER FORT COLLINS PCP LLC; NPI #1376333567

Contact Information

BANNER FORT COLLINS PCP LLC

2025 BIGHORN RD
FORT COLLINS, CO 80525-3480

Phone: 970-449-0082
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Primary Care	261QP2300X
Multi-Specialty	261QM1300X	70	Clinic or Group Practice

Indicates primary specialty

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NPI Profile & details for BANNER FORT COLLINS PCP LLC

NPI Number	`1376333567`
LBN Legal business name	BANNER FORT COLLINS PCP LLC
Authorized official	SHIVA BIRDI - (CEO)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	05/09/2025
Last updated	07/30/2025 - About 10 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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