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Organization

BANNER LASSEN MEDICAL CENTER

Active
Parent organization
BANNER HEALTH
Organization subpart
Yes

Provider details

NPI number
Legal business name
BANNER HEALTH
Authorized official
STEVEN STARK (CEO)
(602) 747-4000
Entity
Organization

Contact information

Practice address
1800 SPRING RIDGE DR, SUSANVILLE, CA 96130-6100
(530) 252-2000
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837

Taxonomy

Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary

Other

Enumeration date
10/28/2009
Last updated
04/20/2026
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