Banner -- University Medical Center Phoenix Campus Internal Medicine
LBN: Banner -- University Medical Center Phoenix Campus Internal Medicine
Banner -- University Medical Center Phoenix Campus Internal Medicine is an health care organization with primary practice located at 1300 N 12Th St #610, Phoenix AZ 85006-2848. 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 -- University Medical Center Phoenix Campus Internal Medicine can be contacted via phone (602) 239-4161, or through Dahlen, Dennis E via phone (602) 747-4000.
Contact Information
Primary practice address
1300 N 12Th St #610
Phoenix AZ 85006-2848
Phone: (602) 239-4161
Fax: (602) 239-4233
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X |
Profile Details
| NPI number | 1124071162 |
|---|---|
| LBN Legal business name | Banner -- University Medical Center Phoenix Campus Internal Medicine |
| DBA Doing business as | |
| Authorized official | Dahlen, Dennis E |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 19th, 2006 |
| Last updated | Feb 26th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124071162 | NPPES |
| Arizona | MEDICAID | 767858 |
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