Banner Hospital Based Physicians Colorado Llc, NPI 1629316641
Multi-Specialty Clinic/Center in Worland, WY, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1629316641
NPI Entity Type Organization
Provider Name Banner Hospital Based Physicians Colorado Llc
Subpart of Organization Banner Medical Group Colorado
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 400 S 15th St, Worland, WY, US
Provider Mailing Address 2901 N Central Ave Ste 160, Phoenix, AZ, US, 850122702
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Dennis Laraway
Official Position CFO
Phone 602-747-4000

Primary Taxonomy

Taxonomy Code

261QM1300X

Taxonomy Name Multi-Specialty Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

Description Definition to come...

Business Address

Banner Hospital Based Physicians Colorado Llc
400 S 15th St

Worland, WY, US

Phone: 307-347-6958

Mailing Address

Banner Hospital Based Physicians Colorado Llc
2901 N Central Ave Ste 160
Phoenix, AZ, US
ZIP 850122702

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NPI Name Taxonomy Address

1447661319

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Organization

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Jackson Hole Behavioral Services, Llc

Organization

Early Intervention Provider Agency

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Laramie, WY

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