# BANNER BAYWOOD SURGERY CENTER, LP

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

## Provider details

- **NPI number:** 1740450311
- **Legal business name:** BANNER HEALTH
- **Authorized official:** DENNIS DAHLEN (SR. VICE PRESIDENT FINANCE)
- **Authorized official phone:** (602) 747-4000

## Contact information

- **Practice address:** 6424 E BROADWAY RD, SUITE 102, MESA, AZ 85206-1750
- **Practice address phone:** (480) 641-9292
- **Mailing address:** 1441 N 12TH ST, PHOENIX, AZ 85006-2837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/10/2008
- **Last updated:** 01/23/2009