BANNER HEALTH PHYSICIANS WEST LLC (NPI# 1154768042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154768042 |
| Entity Type | Organization |
| Organization Name | BANNER HEALTH PHYSICIANS WEST LLC |
| Practice Address |
200 South A Street Hawthorne NV 89415 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 7754233151 |
| Practice Fax Number | 7754282166 |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2013-05-31 |
| Authorized Official Name | DENNIS DAHLEN (SR VP FINANCE) |
| Authorized Official Telephone | 6027474000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BANNER MEDICAL GROUP COLORADO |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073516 | Banner Health Physicians West LLC | Clinic/Center | 201 14th St Ste B100, Wheatland, WY 82201-3201 | 2020-11-06 |
| 1528678786 | Banner Health Physicians West LLC | Clinic/Center | 2300 Gasser Rd, Riverton, WY 82501-2204 | 2020-08-03 |
| 1639617145 | Banner Health Physicians West LLC | Clinic/Center | 1356 Shiek St, Wheatland, WY 82201-3231 | 2017-02-03 |
| 1275913105 | Banner Health Physicians West LLC | Clinic/Center | 1 E Whalen Street, Guernsey, WY 82214 | 2015-06-05 |
| 1639682370 | Banner Health Physicians West LLC | Clinic/Center | 1356 Shiek St, Wheatland, WY 82201-3231 | 2017-11-15 |
| 1568909968 | Banner Health Physicians West LLC | Clinic/Center | 443 Big Horn St, Thermopolis, WY 82443-2306 | 2017-01-23 |
| 1942672977 | Banner Health Physicians West LLC | Clinic/Center | 201 14th St, Wheatland, WY 82201-3201 | 2015-10-29 |
| 1962882845 | Banner Health Physicians West LLC | Clinic/Center | 1551 Brice St, Wheatland, WY 82201-3505 | 2015-06-04 |
| 1598145476 | Banner Health Physicians West LLC | Clinic/Center | 222 S 5th St, Douglas, WY 82633-2534 | 2015-06-04 |
| 1568885655 | Banner Health Physicians West LLC | Clinic/Center | 2000 Campbell Dr, Torrington, WY 82240-1528 | 2014-01-27 |
| Street Address |
200 SOUTH A STREET |
| City | HAWTHORNE |
| State | NV |
| Zip Code | 89415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801844527 | Mt Grant General Hospital | General Acute Care Hospital | 200 South A Street, Hawthorne, NV 89415-1510 | 2006-05-05 |
| 1407493141 | Mt Grant General Hospital | Emergency Medical Technician, Intermediate | 200 South A Street, Hawthorne, NV 89415-1510 | 2019-12-02 |
| 1750926895 | Sheryl Lynn Trela | Homemaker | 200 South A Street, Hawthorne, NV 89415 | 2019-11-13 |
| 1013551019 | Sandra Medeiros | Homemaker | 200 South A Street, Hawthorne, NV 89415-1510 | 2019-11-01 |
| 1447749627 | Charles Frank Mann Iv | Emergency Medical Technician, Intermediate | 200 South A Street, Hawthorne, NV 89415 | 2018-05-03 |
| 1073561718 | Mt Grant General Hospital | Skilled Nursing Facility | 200 South A Street, Hawthorne, NV 89415-1510 | 2006-05-05 |
| 1609824341 | Mt Grant General Hospital | Home Health | 200 South A Street, Hawthorne, NV 89415-1510 | 2006-05-05 |
| 1336197086 | Mt Grant General Hospital | Clinic/Center | 200 South A Street, Hawthorne, NV 89415-1510 | 2006-05-05 |
| 1346298007 | Mt Grant General Hospital | Clinic/Center | 200 South A Street, Hawthorne, NV 89415-1510 | 2006-05-05 |
| 1942258603 | Mt Grant General Hospital | General Acute Care Hospital | 200 South A Street, Hawthorne, NV 89415-1510 | 2006-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790324846 | Angela Lebleu | Behavior Technician | 203 C St, Hawthorne, NV 89415 | 2020-01-06 |
| 1710497920 | Claire Brillantes Espanol | Pharmacist | 1095 Hwy 95, Hawthorne, NV 89415 | 2017-10-03 |
| 1144692252 | Lakshmi Sriharsha Bingi | Pharmacist | Us-95, Safeway, Hawthorne, NV 89415 | 2015-10-28 |
| 1275965741 | Holly Heath Qualls | Speech-Language Pathologist | 317 D Street, Hawthorne, NV 89415 | 2013-08-06 |
| 1033455407 | Wanda Nixon | Registered Nurse | 331 First Street, Hawthorne, NV 89415 | 2012-12-12 |
| 1851523971 | Nevada State Health Division | Public Health or Welfare | 331 1st Street, Hawthorne, NV 89415 | 2009-08-24 |
| 1124258181 | Jeanne Hall | Dietitian, Registered | 399 Connelly, Hawthorne, NV 89415 | 2009-07-23 |
| 1851423164 | Carson Urologists Ltd | Urology | 200 S A St, Hawthorne, NV 89415 | 2007-03-12 |
| 1225057250 | Safeway Inc | Durable Medical Equipment & Medical Supplies | Hwy 95 and Armory, Hawthorne, NV 89415 | 2006-07-19 |
| 1902854516 | County of Mineral | Ambulance | 418 Mineral Way, Hawthorne, NV 89415 | 2006-05-05 |
| Find all providers in zip 89415 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1669930475 | Central Utah Clinic, P.C. | Clinic/Center | 330 Falcon Ridge Pkwy Ste 400a, Mesquite, NV 89027-8881 | 2019-03-11 |
| 1073078945 | Board of Regents Nevada System of Higher Education | Clinic/Center | 1664 N Virginia St # Ms 0285, Reno, NV 89557-0001 | 2019-02-05 |
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| 1407310279 | Soul Purpose Sober Living LLC | Clinic/Center | 3667 El Camino Rd, Las Vegas, NV 89103-1102 | 2019-01-25 |
| 1134601230 | Banner Churchill Community Hospital | Clinic/Center | 1020 New River Pkwy Ste 100, Fallon, NV 89406-7801 | 2018-09-05 |
| 1295227379 | Ram K Singh Md Ltd | Clinic/Center | 4510 S Eastern Ave Ste 3, Las Vegas, NV 89119-6118 | 2018-06-04 |
| 1790293900 | True Hearts Behavioral Services,llc | Clinic/Center | 5415 W Harmon Ave, Las Vegas, NV 89103-5098 | 2018-01-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.