# BANNER MEDICAL CLINIC TORRINGTON LLC

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

## Provider details

- **NPI number:** 1871034637
- **Legal business name:** BANNER HEALTH
- **Authorized official:** DENNIS DAHLEN (SR. VP FINANCE)
- **Authorized official phone:** (602) 747-4000

## Contact information

- **Practice address:** 625 ALBANY AVE, TORRINGTON, WY 82240-1530
- **Practice address phone:** (307) 532-2107
- **Mailing address:** 2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/13/2017
- **Last updated:** 04/13/2017