BANNER WHOLE HEALTH CLINIC


Address: 535 N, Wimont, Tucson, AZ 85711
Phone: 5206949457

BANNER WHOLE HEALTH CLINIC (NPI# 1346606761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346606761
Entity Type Organization
Organization Name BANNER WHOLE HEALTH CLINIC
Practice Address 535 N, Wimont
Tucson
AZ 85711
Practice Telephone 5206949457
Enumeration Date 2016-01-14
Last Update Date 2016-01-14
Authorized Official Name LEE EASTER (ADMINISTRATOR)
Authorized Official Telephone 5206945753
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251K00000X Public Health or Welfare LPC-2371 AZ Agencies

Other Provider Identifier

State Issuer Identifier Type Code
AZ NPI 1014P2500X 01

Office Location

Street Address 535 N, WIMONT
City TUCSON
State AZ
Zip Code 85711

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Taxonomy Information

Taxonomy Code 251K00000X
Grouping Agencies
Classification Public Health or Welfare

Taxonomy Definition

Definition to come...

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1871887018 Psa Behavioral Health Agency Public Health or Welfare 412 N 6th Ave, #100, Tucson, AZ 85705-8327 2011-06-06
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Competitor

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City TUCSON
Zip Code 85711

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Dataset Information

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.

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