Organization
BANNER BEHAVIORAL HEALTH HOSPITAL PRO FEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS DAHLEN (SR. VICE PRESIDENT - FINANCE)
(602) 747-4000
Entity
Organization
Contact information
Practice address
7575 E EARLL DR, SCOTTSDALE, AZ 85251-6915
(480) 941-7500
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
884008
—
AZ
Enumeration date
02/21/2007
Last updated
08/22/2020
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