# BANNER HEALTH

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

## Provider details

- **NPI number:** 1912447855
- **Authorized official:** DENNIS LARAWAY (CFO)
- **Authorized official phone:** (602) 747-4000

## Contact information

- **Practice address:** 4259 S SQUIRES LN, GILBERT, AZ 85297-1206
- **Practice address phone:** (480) 273-9513
- **Mailing address:** 2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 1780739631 | AZ | Yes |

## Other

- **Enumeration date:** 02/25/2017
- **Last updated:** 01/31/2022
