BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS NPI 1417001728

NPI Information

NPI: 1417001728
Provider Name: BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1111 E MCDOWELL RD
PHOENIX, AZ
ZIP 85006
Phone: (602) 239-2000
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BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS is an end-stage renal disease (esrd) treatment clinic center in Phoenix, AZ. BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS NPI is 1417001728. The provider is registered as an organization entity type.

The provider's business location address is:

1111 E MCDOWELL RD
PHOENIX, AZ
ZIP 85006-612
Phone: (602) 239-2000

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 enumeration date for this NPI number is 1/23/2007 and was last updated on 12/23/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

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

NPI Synchronization or Removal

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