Organization
PAGE PRO FEE BILLING
Active
Organization
PAGE PRO FEE BILLING
Active
Parent organization
BANNER HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
DENNIS DAHLEN (SR VICE PRESIDENT FINANCE)
(602) 747-4000
Entity
Organization
Contact information
Practice address
501 NORTH NAVAJO, PAGE, AZ 86040
(928) 645-2424
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192639
—
AZ
Enumeration date
01/23/2007
Last updated
10/22/2007
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