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:
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 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 9 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 1124071162 NPPES
Arizona MEDICAID 767858

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