Banner Primary Care Physicians Arizona Llc

LBN: Banner Primary Care Physicians Arizona Llc
Banner Primary Care Physicians 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 Primary Care Physicians Arizona Llc can be contacted via phone (928) 645-0740, or through Laraway, Dennis via phone (602) 747-4000.

Contact Information

Primary practice address
601 N Navajo Page AZ 86040
Phone: (928) 645-0740
Fax: (928) 645-0753
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 1710234703
LBN Legal business name Banner Primary Care Physicians Arizona Llc
DBA Doing business as
Authorized official Laraway, Dennis
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 8th, 2012
Last updated Dec 30th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1710234703 NPPES
Arizona MEDICAID 646505

Popular Providers