BANNER HEALTH PHYSICIANS COLORADO LLC
NPI 1396009635
Clinic/Center - Multi-Specialty in Loveland, CO
NPI Status: Active since July 02, 2012
Contact Information
2701 MADISON SQUARE DR
LOVELAND, CO
ZIP 80538
Phone: (970) 820-6660
Fax: (970) 820-1099
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 06D0902937
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-14-2026
About BANNER HEALTH PHYSICIANS COLORADO LLC
This page provides the complete NPI Profile along with additional information for Banner Health Physicians Colorado Llc, a provider established in Loveland, Colorado operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1396009635 assigned on July 2012. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Shiva Birdi Md (Ceo)
- NPI
- 1396009635
- Provider Name
- BANNER HEALTH PHYSICIANS COLORADO LLC
- Entity Type
- Organization
- Location Address
- 2701 MADISON SQUARE DR LOVELAND, CO 80538
- Location Phone
- (970) 820-6660
- Location Fax
- (970) 820-1099
- Mailing Address
- 2901 N CENTRAL AVE STE 160 PHOENIX, AZ 85012
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-02-2012
- Last Update Date
- 05-31-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 06D0902937
- Facility Type
- Physician Office
- Certificate Effective Date
- February 15, 2024
- Certificate Expiration Date
- February 14, 2026
- Laboratory Director
- DR. STEVEN R. SUNDERMAN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Banner Health Physicians Colorado Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 9 | 6 | 0 | 0 | 9 | 6 | 3 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 0 | 0 | 18 | 6 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 0 + 0 + 1 + 8 + 6 + 6 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1396009635 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1497737720 | JAMES C DANFORTH MD Individual | Family Medicine | 2701 MADISON SQUARE DR LOVELAND, CO 80538 (970) 663-0722 |
| 1710278700 | BIG THOMPSON MEDICAL GROUP INC. Organization | Clinic/Center (Multi-Specialty) | 2701 MADISON SQUARE DR LOVELAND, CO 80538 (970) 663-0722 |
| 1508178534 | HEIDI N HEPP MD Individual | Family Medicine | 2701 MADISON SQUARE DR LOVELAND, CO 80538 (970) 663-0722 |
| 1164286423 | BRYAN CRIST RN Individual | Registered Nurse | 2701 MADISON SQUARE DR LOVELAND, CO 80538 (970) 820-6660 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396009635, enumerated in the NPI registry as an "organization" on July 02, 2012
The provider is located at 2701 Madison Square Dr Loveland, Co 80538 and the phone number is (970) 820-6660
This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty
The provider's CLIA number is 06D0902937 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on July 02, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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