Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Banner Hospital Based Physicians Colorado LLC

Organization Multi-Specialty Clinic/Center · NPI 1629316641

Banner Hospital Based Physicians Colorado LLC is a Multi-Specialty Clinic/Center in Worland, Wyoming. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

400 S 15th St
Worland, WY 82401-3531
Phone: (307) 347-6958
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X

Record details

NPI number1629316641
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBanner Medical Group Colorado
Authorized official Dennis Laraway — Cfo · (602) 747-4000
NPI enumeratedJanuary 25, 2013
Last updated in NPPESJanuary 28, 2022
Certification dateJanuary 28, 2022
Mailing address2901 N Central Ave Ste 160, Phoenix, AZ 85012-2702

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