BANNER HEALTH NPI 1588098313

NPI Information

BANNER HEALTH is a non pharmacy dispensing site in Phoenix, AZ. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) BANNER HEALTH NPI is 1588098313. The provider is registered as an organization entity type.
The provider Is Doing Business As Banner Occupational Health Services.

The provider's business location address is:

1300 N 12TH ST
SUITE 520
PHOENIX, AZ
ZIP 85006-848
Phone: (602) 839-4456

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 03D0877471 - industrial with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/28/2013 and was last updated on 1/31/2022.

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:

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