Organization
BANNER CHURCHILL COMMUNITY HOSPITAL
Active
Parent organization
BANNER HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
DENNIS LARAWAY (CFO)
(602) 747-4000
Entity
Organization
Contact information
Practice address
801 E WILLIAMS AVE, FALLON, NV 89406-3052
(775) 423-3151
(775) 423-3365
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
(602) 747-4000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
638HOS-15
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001845
—
NV
05
—
1101845
—
NV
05
—
1201845
—
NV
05
—
3201003
—
NV
Enumeration date
09/13/2006
Last updated
04/03/2026
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