Banner Physician Specialists Arizona Llc

LBN: Banner Physician Specialists Arizona Llc
Banner Physician Specialists Arizona Llc is an health care organization with primary practice located at 601 N Navajo , Page AZ 86040. 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 Physician Specialists Arizona Llc can be contacted via phone (928) 645-0131, or through Laraway, Dennis via phone (602) 747-4000.

Contact Information

Primary practice address
601 N Navajo Page AZ 86040
Phone: (928) 645-0131
Fax: (928) 645-3549
Website:
Map and Directions
Authorized official contact:
Name: Laraway, Dennis
Phone: (602) 747-4000

Health care specialties

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

Profile Details

NPI number 1366799355
LBN Legal business name Banner Physician Specialists Arizona Llc
DBA Doing business as
Authorized official Laraway, Dennis
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 8th, 2012
Last updated Dec 29th, 2021 - about 4 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 1366799355 NPPES
Arizona MEDICAID 646505

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