Organization
BANNER HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA DUGGER (CEO)
(530) 252-2000
Entity
Organization
Contact information
Practice address
1800 SPRING RIDGE DR, SUSANVILLE, CA 96130-6100
(530) 252-2000
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
(602) 747-4000
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
05/25/2023
Last updated
07/18/2023
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