BANNER-UNIVERSITY MEDICAL GROUP NPI 1568818649

NPI Information

  • NPI: 1568818649
  • Provider Name: BANNER-UNIVERSITY MEDICAL GROUP
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Doing Business As: WHOLE HEALTH CLINIC
  • CLIA Number: 03D2126553
  • Address: 535 N WILMOT RD FL 2
    TUCSON, AZ
    ZIP 85711
  • Phone: (520) 694-1234

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NPI Details

BANNER-UNIVERSITY MEDICAL GROUP is an adult mental health clinic center in Tucson, AZ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. BANNER-UNIVERSITY MEDICAL GROUP NPI is 1568818649. The provider is registered as an organization entity type.
The provider Is Doing Business As Whole Health Clinic.

The provider's business location address is:

535 N WILMOT RD FL 2
TUCSON, AZ
ZIP 85711-600
Phone: (520) 694-1234

The provider's authorized official is Venkata Evani .
The authorized official title is Ceo and has the following contact phone number (602) 747-4000.

The CLIA number assigned to this NPI record is 03D2126553 - other - integrated health clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/9/2016 and was last updated on 11/15/2024.

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
1261QM0850XClinic/CenterAdult Mental HealthYes

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: 3/30/2025

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