BANNER -- UNIVERSITY MEDICAL GROUP NPI 1578910485

NPI Information

NPI: 1578910485
Provider Name: BANNER -- UNIVERSITY MEDICAL GROUP

Doing Business As: EPICENTER

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
535 N WILMOT RD
TUCSON, AZ
ZIP 85711
Phone: (520) 694-1234
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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 1578910485. The provider is registered as an organization entity type.
The provider Is Doing Business As Epicenter.

The provider's business location address is:

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

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

The enumeration date for this NPI number is 5/20/2016 and was last updated on 6/6/2016.

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	261QM0850X	Clinic/Center	Adult Mental Health			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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