# BANNER MESA SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1780109934
- **Legal business name:** BANNER HEALTH
- **Authorized official:** MATTHEW COX (SR VP FINANCE)
- **Authorized official phone:** (602) 747-4000

## Contact information

- **Practice address:** 1500 S DOBSON RD STE 101, MESA, AZ 85202-4722
- **Practice address phone:** (480) 306-6098
- **Practice address fax:** (602) 801-3815
- **Mailing address:** 2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702

## Taxonomy

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

## Other

- **Enumeration date:** 08/09/2017
- **Last updated:** 07/26/2019