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BANNER URGENT CARE SERVICES LLC NPI 1902378524


NPI Information

NPI: 1902378524
Provider Name: BANNER URGENT CARE SERVICES, LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 03D2103461

Address:
1157 S CRISMON RD STE 101
MESA, AZ
ZIP 85208
Phone: (480) 827-5730
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BANNER URGENT CARE SERVICES, LLC is an urgent care clinic center in Mesa, AZ. BANNER URGENT CARE SERVICES, LLC NPI is 1902378524. The provider is registered as an organization entity type.

The provider's business location address is:

1157 S CRISMON RD STE 101
MESA, AZ
ZIP 85208-661
Phone: (480) 827-5730

The provider's authorized official is Dennis Laraway .
The authorized official title is Associate Director and has the following contact phone number (602) 747-4000.

The CLIA number assigned to this NPI record is 03D2103461 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/20/2018 and was last updated on 1/27/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QU0200XClinic/CenterUrgent CareYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.