Organization
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
2000 CAMPBELL DR, TORRINGTON, WY 82240-1528
(307) 532-4181
(307) 532-3800
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HSA
BCBS
—
Enumeration date
07/29/2015
Last updated
12/28/2021
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