# BANNER GOOD SAMARITAN MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881913200
- **Authorized official:** DENNIS LARAWAY (CFO)
- **Authorized official phone:** (602) 747-4000

## Contact information

- **Practice address:** 1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
- **Practice address phone:** (602) 836-4556
- **Mailing address:** 2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
- **Mailing address phone:** (602) 836-4556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183700000X | Pharmacy Technician | — | NULL | — |
| 183700000X | Pharmacy Technician | — | — | — |
| 282N00000X | General Acute Care Hospital | 261QM1300X | AZ | Yes |

## Other

- **Enumeration date:** 05/25/2010
- **Last updated:** 12/23/2021