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 9165 W Thunderbird Road , Peoria AZ 85381. 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) 523-6555, or through Burke, Margaret via phone (623) 876-3967.
Contact Information
Primary practice address
9165 W Thunderbird Road
Peoria AZ 85381
Phone: (623) 523-6555
Fax: (623) 523-6586
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | OTC4107 | Arizona |
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X | OTC4107 | Arizona |
Profile Details
| NPI number | 1780715698 |
|---|---|
| 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 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780715698 | NPPES |
| Arizona | MEDICAID | 516437 |
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