Organization
BANNER HOME CARE-ARIZONA
Active
Parent organization
BANNER HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
RUSSELL FUNK (CEO)
(602) 747-4000
Entity
Organization
Contact information
Practice address
525 W BROWN RD STE 1350, MESA, AZ 85201-3202
(480) 657-1000
Mailing address
PO BOX 29325, PHOENIX, AZ 85038-9325
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013293
—
AZ
Enumeration date
07/06/2007
Last updated
04/20/2026
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