Organization
EAST MORGAN 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
2400 EDISON ST, BRUSH, CO 80723-1640
(970) 842-6200
(970) 842-3572
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
(602) 747-4000
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HSA
BCBS
—
Enumeration date
07/29/2015
Last updated
12/13/2021
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