BANNER - UNIVERSITY HOSPITAL BASED PHYSICIANS LLC NPI 1760857429

NPI Information

NPI: 1760857429
Provider Name: BANNER - UNIVERSITY HOSPITAL BASED PHYSICIANS LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 03D2013557

Address:
37000 N GANTZEL RD
SAN TAN VALLEY, AZ
ZIP 85140
Phone: (480) 394-4030
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BANNER - UNIVERSITY HOSPITAL BASED PHYSICIANS LLC is a multi-specialty clinic center in San Tan Valley, AZ. BANNER - UNIVERSITY HOSPITAL BASED PHYSICIANS LLC NPI is 1760857429. The provider is registered as an organization entity type.

The provider's business location address is:

37000 N GANTZEL RD
SAN TAN VALLEY, AZ
ZIP 85140-303
Phone: (480) 394-4030
Fax: (480) 394-4571

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 CLIA number assigned to this NPI record is 03D2013557 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/7/2015 and was last updated on 2/23/2022.

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

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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