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

Organization Multi-Specialty Clinic/Center · NPI 1104070333

Banner Medical Group Greeley LLC is a Multi-Specialty Clinic/Center in Greeley, Colorado. Registered with an NPI since 2008.

In the registry since
2008
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

5623 W 19th St
Greeley, CO 80634-2901
Phone: (970) 353-9011
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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 number1104070333
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dennis Dahlen — Sr Vp Finance · (602) 747-4000
NPI enumeratedNovember 14, 2008
Last updated in NPPESSeptember 20, 2010
Mailing address1441 N 12th St, Phoenix, AZ 85006-2837

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