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 10150 N 67Th Ave Ste 101, Glendale AZ 85302-1004. 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 (623) 876-3940, or through Dahlen, Dennis E via phone (602) 747-4000.

Contact Information

Primary practice address
10150 N 67Th Ave Ste 101 Glendale AZ 85302-1004
Phone: (623) 876-3940
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 1821368218
LBN Legal business name Banner Physician Specialists Arizona Llc
DBA Doing business as
Authorized official Dahlen, Dennis E
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 3rd, 2012
Last updated May 14th, 2012 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821368218 NPPES
Arizona MEDICAID 646505

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