Banner Desert Care Center

LBN: Banner Desert Medical Center
Banner Desert Care Center is an health care organization with primary practice located at 2145 W Southern Ave , Mesa AZ 85202-4715. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Banner Desert Medical Center can be contacted via phone (480) 890-4800, or through Laraway, Dennis via phone (602) 747-4000.

Contact Information

Primary practice address
2145 W Southern Ave Mesa AZ 85202-4715
Phone: (480) 890-4800
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Laraway, Dennis
Phone: (602) 747-4000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1780739631
LBN Legal business name Banner Desert Medical Center
DBA Doing business as Banner Desert Care Center
Authorized official Laraway, Dennis
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated Jan 13th, 2022 - about 2 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 1780739631 NPPES
Arizona MEDICAID 538712

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