Banner Phoenix Internal Medicine Physicians

LBN: Banner Phoenix Internal Medicine Physicians
Banner Phoenix Internal Medicine Physicians is an health care organization with primary practice located at 4400 N 32Nd St Suite 140, Phoenix AZ 85018-3953. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Banner Phoenix Internal Medicine Physicians can be contacted via phone (602) 254-4424, or through Dahlen, Dennis E via phone (602) 747-4000.

Contact Information

Primary practice address
4400 N 32Nd St Suite 140 Phoenix AZ 85018-3953
Phone: (602) 254-4424
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 / Medical Specialty 261QM2500X PENDING

Profile Details

NPI number 1902017346
LBN Legal business name Banner Phoenix Internal Medicine Physicians
DBA Doing business as
Authorized official Dahlen, Dennis E
Entity Organization
Organization subpart 1 Yes
Enumeration date May 25th, 2007
Last updated Jan 24th, 2008 - about 18 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 1902017346 NPPES
Arizona MEDICAID 255741

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