BANNER EMPLOYER SERVICES CLINIC NPI 1902439045

NPI Information

NPI: 1902439045
Provider Name: BANNER EMPLOYER SERVICES CLINIC
Classification: Clinic/Center - 261QC1800X
Entity Type: Organization

Specialization: Corporate Health

Address:
1 N CENTRAL AVE STE 105
PHOENIX, AZ
ZIP 85004
Phone: (602) 255-7650
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BANNER EMPLOYER SERVICES CLINIC is a corporate health clinic center in Phoenix, AZ. BANNER EMPLOYER SERVICES CLINIC NPI is 1902439045. The provider is registered as an organization entity type.

The provider's business location address is:

1 N CENTRAL AVE STE 105
PHOENIX, AZ
ZIP 85004-416
Phone: (602) 255-7650
Fax: (602) 255-7653

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 enumeration date for this NPI number is 2/18/2020 and was last updated on 2/18/2020.

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	261QC1800X	Clinic/Center	Corporate 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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