Banner Fort Collins Pcp LLC
Banner Fort Collins Pcp LLC is a Multi-Specialty Clinic/Center in Longmont, Colorado. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
205 S Main St Ste BLongmont, CO 80501-1714
Phone: (303) 772-6244
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X |
|---|---|
| Multi-Specialty Clinic/Center | Taxonomy 261QM1300X |
Record details
| NPI number | 1467242651 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Banner Medical Group Colorado |
| Authorized official | Shiva Birdi — Ceo · (602) 747-4000 |
| NPI enumerated | May 9, 2025 |
| Last updated in NPPES | July 30, 2025 |
| Certification date | July 30, 2025 |
| Mailing address | 2901 N Central Ave Ste 160, Phoenix, AZ 85012-2702 |
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