Banner-University Medical Center Phx Campus Multispecialty Services

LBN: Banner-University Medical Center Phx Campus Multispecialty Services
Banner-University Medical Center Phx Campus Multispecialty Services is an health care organization with primary practice located at 1111 E Mcdowell Rd , Phoenix AZ 85006-2612. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Banner-University Medical Center Phx Campus Multispecialty Services can be contacted via phone (602) 239-2391, or through Dahlen, Dennis via phone (602) 747-4000.

Contact Information

Primary practice address
1111 E Mcdowell Rd Phoenix AZ 85006-2612
Fax: (602) 239-4362
Website:
Authorized official contact:
Name: Dahlen, Dennis

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1649223686
LBN Legal business name Banner-University Medical Center Phx Campus Multispecialty Services
DBA Doing business as
Authorized official Dahlen, Dennis
Entity Organization
Organization subpart 1 Yes
Enumeration date May 19th, 2006
Last updated Apr 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649223686 NPPES
Arizona MEDICAID 778847

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