Banner Arizona Medical Clinic Ltd

LBN: Banner Arizona Medical Clinic Ltd
Banner Arizona Medical Clinic Ltd is an health care organization with primary practice located at 13640 N Plaza Del Rio Blvd , Peoria AZ 85381-4846. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Banner Arizona Medical Clinic Ltd can be contacted via phone (623) 876-3800, or through Burke, Margaret via phone (623) 876-3967.

Contact Information

Primary practice address
13640 N Plaza Del Rio Blvd Peoria AZ 85381-4846
Phone: (623) 876-3800
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Burke, Margaret
Phone: (623) 876-3967

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X OTC3936 Arizona
Suppliers / Prosthetic/Orthotic Supplier 335E00000X OTC3936 Arizona

Profile Details

NPI number 1578694055
LBN Legal business name Banner Arizona Medical Clinic Ltd
DBA Doing business as
Authorized official Burke, Margaret
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 8th, 2007
Last updated Sep 19th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578694055 NPPES
Arizona MEDICAID 516437

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