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BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS CRITICAL CARE NPI 1306899356


NPI Information

NPI: 1306899356
Provider Name: BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS CRITICAL CARE
Classification: Internal Medicine - 207RC0200X
Entity Type: Organization

Specialization: Critical Care Medicine

Address:
1111 E MCDOWELL RD
PHOENIX, AZ
ZIP 85006
Phone: (602) 239-2217
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BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS CRITICAL CARE is a critical care medicine internal medicine in Phoenix, AZ. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS CRITICAL CARE NPI is 1306899356. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1111 E MCDOWELL RD
PHOENIX, AZ
ZIP 85006-612
Phone: (602) 239-2217
Fax: (602) 239-2718

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

The enumeration date for this NPI number is 5/19/2006 and was last updated on 2/26/2015.


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
1207RC0200XInternal MedicineCritical Care MedicineYes

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
1Z74279MEDICARE PINARIZONA
2767840MEDICAIDARIZONA

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

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.