Banner -- University Medical Group
LBN: Banner -- University Medical Group
Banner -- University Medical Group is an health care organization with primary practice located at 535 N Wilmot Rd Ste 101 , Tucson AZ 85711-2683. The organization recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Ambulatory Health Care Facilities / Multi-Specialty. Dietary & Nutritional Service Providers / Nutrition, Education is the primary health care specialty.
Banner -- University Medical Group can be contacted via phone (520) 694-5437, or through Laraway, Dennis via phone (602) 747-4000.
Contact Information
Primary practice address
535 N Wilmot Rd Ste 101
Tucson AZ 85711-2683
Phone: (520) 694-5437
Fax: (520) 874-4751
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Nutrition, Education | 133NN1002X | ||
Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X |
Profile Details
NPI number | 1932708328 |
---|---|
LBN Legal business name | Banner -- University Medical Group |
DBA Doing business as | |
Authorized official | Laraway, Dennis |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Oct 18th, 2020 |
Last updated | Oct 18th, 2020 - about 4 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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