Banner Urgent Care Arizona Llc

LBN: Banner Urgent Care Arizona Llc
Banner Urgent Care Arizona Llc is an health care organization with primary practice located at 15468 N Civic Center Dr , Surprise AZ 85374-7469. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Banner Urgent Care Arizona Llc can be contacted via phone (623) 584-2917, or through Laraway, Dennis via phone (602) 747-4000.

Contact Information

Primary practice address
15468 N Civic Center Dr Surprise AZ 85374-7469
Phone: (623) 584-2917
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Laraway, Dennis
Phone: (602) 747-4000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1750665980
LBN Legal business name Banner Urgent Care Arizona Llc
DBA Doing business as
Authorized official Laraway, Dennis
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 6th, 2011
Last updated Jan 26th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750665980 NPPES
Arizona MEDICAID 653587

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