BANNER ARIZONA MEDICAL CLINIC LTD NPI 1750347936

NPI Information

NPI: 1750347936
Provider Name: BANNER ARIZONA MEDICAL CLINIC LTD
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
13640 N PLAZA DEL RIO BLVD
PEORIA, AZ
ZIP 85381
Phone: (623) 876-3800
Get Directions

BANNER ARIZONA MEDICAL CLINIC LTD is a multi-specialty clinic center in Peoria, AZ. BANNER ARIZONA MEDICAL CLINIC LTD NPI is 1750347936. The provider is registered as an organization entity type.

The provider's business location address is:

13640 N PLAZA DEL RIO BLVD
PEORIA, AZ
ZIP 85381-846
Phone: (623) 876-3800
Fax: (623) 972-9590

The provider's authorized official is Dennis 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 4/25/2006 and was last updated on 12/3/2008.

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	OTC3936	ARIZONA	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
1	ZWCKJD	MEDICARE PIN	ARIZONA
2	CG6295	MEDICARE PIN	ARIZONA
3	0516437	MEDICAID	ARIZONA
4	ZWCFGW	MEDICARE PIN	ARIZONA
5	DE5522	MEDICARE PIN	ARIZONA
6	CV0039	MEDICARE PIN	ARIZONA

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

NPI Synchronization or Removal

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