BANNER HEART HOSPITAL NPI 1215961248

NPI Information

BANNER HEART HOSPITAL is a special hospital in Mesa, AZ. The provider is a designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. BANNER HEART HOSPITAL NPI is 1215961248. The provider is registered as an organization entity type.

The provider's business location address is:

6750 E BAYWOOD AVE
MESA, AZ
ZIP 85206-749
Phone: (480) 854-5050
Fax: (480) 854-5011

The provider's authorized official is Dennis Laraway .
The authorized official title is Cfo and has the following contact phone number (602) 747-4000.

The CLIA number assigned to this NPI record is 03D1011311 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 12/27/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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