Organization · Type 2 NPI

Banner Fort Collins PCP LLC

Multi-Specialty Clinic/Center · Loveland, CO

NPI number 1104616390 Active

Practice location

1625 Foxtrail Dr Ste 190
Loveland, CO 80538-9089

Call (970) 500-2244 Map

Mailing address

2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed
Primary Care Clinic/Center 261QP2300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1104616390

Banner Fort Collins PCP LLC's National Provider Identifier is 1104616390, issued on May 9, 2025. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Loveland, CO. The record was last updated on Jul 30, 2025.