Banner Desert Surgery Center Lp

LBN: Banner Desert Surgery Center Lp
Banner Desert Surgery Center Lp is an health care organization with primary practice located at 1500 S Dobson Rd Ste 101 , Mesa AZ 85202-4722. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Banner Desert Surgery Center Lp can be contacted via phone (480) 512-3590, or through Dahlen, Dennis E via phone (602) 747-4000.

Contact Information

Primary practice address
1500 S Dobson Rd Ste 101 Mesa AZ 85202-4722
Fax:
Website:
Authorized official contact:
Name: Dahlen, Dennis E

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X OSC 3780 Arizona

Profile Details

NPI number 1902841117
LBN Legal business name Banner Desert Surgery Center Lp
DBA Doing business as
Authorized official Dahlen, Dennis E
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2006
Last updated Apr 12th, 2013 - about 11 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 1902841117 NPPES
Arizona MEDICAID 957706

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