Organization
BANNER HOME MEDSOLUTIONS
Active
Parent organization
BANNER HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
DENNIS LARAWAY (CHIEF FINANCIAL OFFICER)
(602) 747-4000
Entity
Organization
Contact information
Practice address
1990 59TH AVE STE 200, GREELEY, CO 80634-9654
(970) 810-6455
(970) 810-6422
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
08/09/2021
Last updated
12/22/2021
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