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Organization
BANNER HEALTH
Active
Organization
BANNER HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY PERRY (PRESIDENT AND CEO)
(602) 747-4000
Entity
Organization
Contact information
Practice address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
(602) 747-4000
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
261QA1903X
Ambulatory Surgical Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
282N00000X
General Acute Care Hospital
Primary
—
NULL
282NC0060X
Critical Access Hospital
—
NULL
283Q00000X
Psychiatric Hospital
—
NULL
284300000X
Special Hospital
—
NULL
314000000X
Skilled Nursing Facility
—
NULL
315D00000X
Inpatient Hospice
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
04/10/2007
Last updated
08/07/2024
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