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BANNER BAYWOOD MEDICAL CENTER NPI 1194758284


NPI Information

NPI: 1194758284
Provider Name: BANNER BAYWOOD MEDICAL CENTER
Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization

CLIA Number: 03D1014799

Address:
6644 E BAYWOOD AVE
MESA, AZ
ZIP 85206
Phone: (480) 321-2000
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BANNER BAYWOOD MEDICAL CENTER is a general acute care hospital in Mesa, AZ. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. BANNER BAYWOOD MEDICAL CENTER NPI is 1194758284. The provider is registered as an organization entity type.

The provider's business location address is:

6644 E BAYWOOD AVE
MESA, AZ
ZIP 85206-747
Phone: (480) 321-2000
Fax: (480) 321-4198

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 03D1014799 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 12/22/2021.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1282N00000XGeneral Acute Care HospitalH155ARIZONAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1021618MEDICAIDARIZONA
2309725MEDICAIDARIZONA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.