Banner Copper Basin Medical Clinic

LBN: Banner Copper Basin Medical Clinic
Banner Copper Basin Medical Clinic is an health care organization with primary practice located at 2474 E Hunt Hwy Suite 10, Queen Creek AZ 85143-5210. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Banner Copper Basin Medical Clinic can be contacted via phone (480) 543-6680, or through Dahlen, Dennis E via phone (602) 747-4000.

Contact Information

Primary practice address
2474 E Hunt Hwy Suite 10 Queen Creek AZ 85143-5210
Phone: (480) 543-6680
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dahlen, Dennis E
Phone: (602) 747-4000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1265679260
LBN Legal business name Banner Copper Basin Medical Clinic
DBA Doing business as
Authorized official Dahlen, Dennis E
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 13th, 2009
Last updated Apr 11th, 2011 - about 13 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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