BANNER HOME CARE ARIZONA NPI 1972701332

NPI Information

NPI: 1972701332
Provider Name: BANNER HOME CARE ARIZONA
Classification: Home Infusion - 251F00000X
Entity Type: Organization
Address:
275 E GERMANN RD
STE 110
GILBERT, AZ
ZIP 85297
Phone: (480) 657-1000
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BANNER HOME CARE ARIZONA is a home infusion in Gilbert, AZ. BANNER HOME CARE ARIZONA NPI is 1972701332. The provider is registered as an organization entity type.

The provider's business location address is:

275 E GERMANN RD
STE 110
GILBERT, AZ
ZIP 85297-905
Phone: (480) 657-1000

The provider's authorized official is Dennis Dahlen .
The authorized official title is Sr Vice President and has the following contact phone number (602) 747-4000.

The enumeration date for this NPI number is 7/6/2007 and was last updated on 2/17/2020.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251F00000X	Home Infusion		Yes
2	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	No
3	333600000X	Pharmacy		No
4	3336H0001X	Pharmacy	Home Infusion Therapy Pharmacy	No
5	3336C0004X	Pharmacy	Compounding Pharmacy	No

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	013293	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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