Organization
BANNER THUNDERBIRD MEDICAL CENTER
Active
Parent organization
BANNER HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
DALE JOHNS (CEO)
(602) 747-4000
Entity
Organization
Contact information
Practice address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(602) 865-5555
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QX0200X
Oncology Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
H-92
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529943
—
AZ
05
—
836398
—
AZ
Enumeration date
07/10/2006
Last updated
04/13/2026
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