BANNER IRONWOOD PHYSICIANS NPI 1679880314

NPI Information

NPI: 1679880314
Provider Name: BANNER IRONWOOD PHYSICIANS
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 03D2008842

Address:
37100 N GANTZEL ROAD
QUEEN CREEK, AZ
ZIP 85140
Phone: (480) 394-4480
Get Directions

BANNER IRONWOOD PHYSICIANS is a multi-specialty clinic center in Queen Creek, AZ. BANNER IRONWOOD PHYSICIANS NPI is 1679880314. The provider is registered as an organization entity type.

The provider's business location address is:

37100 N GANTZEL ROAD
QUEEN CREEK, AZ
ZIP 85140
Phone: (480) 394-4480

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

The CLIA number assigned to this NPI record is 03D2008842 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/1/2010 and was last updated on 2/2/2011.

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	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Z141520	MEDICARE PIN

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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