# BANNER THUNDERBIRD MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BANNER HEALTH
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154355188
- **Legal business name:** BANNER HEALTH
- **Authorized official:** DALE JOHNS (CEO)
- **Authorized official phone:** (602) 747-4000

## Contact information

- **Practice address:** 5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
- **Practice address phone:** (602) 865-5555
- **Mailing address:** 2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QI0500X | Infusion Therapy Clinic/Center | — | NULL | — |
| 261QX0200X | Oncology Clinic/Center | — | NULL | — |
| 282N00000X | General Acute Care Hospital | H-92 | AZ | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 04/13/2026