Banner Behavioral Health - East Valley

LBN: Banner Behavioral Health - East Valley
Banner Behavioral Health - East Valley is an health care organization with primary practice located at 1400 S Dobson Rd , Mesa AZ 85202-4707. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Banner Behavioral Health - East Valley can be contacted via phone (480) 464-4000, or through Dahlen, Dennis via phone (602) 747-4000.

Contact Information

Primary practice address
1400 S Dobson Rd Mesa AZ 85202-4707
Phone: (480) 464-4000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dahlen, Dennis
Phone: (602) 747-4000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1447292214
LBN Legal business name Banner Behavioral Health - East Valley
DBA Doing business as
Authorized official Dahlen, Dennis
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 13th, 2006
Last updated Oct 15th, 2007 - about 17 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 1447292214 NPPES
Arizona MEDICAID 884008

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