BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC (NPI# 1659640902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659640902 |
| Entity Type | Organization |
| Organization Name | BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC |
| Practice Address |
2474 E Hunt Hwy Suite 10 San Tan Valley AZ 85143-5210 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 4805436680 |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2011-12-15 |
| Authorized Official Name | DENNIS E DAHLEN (SR VP FINANCE) |
| Authorized Official Telephone | 6027474000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BANNER MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194164681 | Banner Primary Care Physicians Arizona LLC | Durable Medical Equipment & Medical Supplies | 9780 S Estrella Pkwy, Goodyear, AZ 85338-7114 | 2013-06-18 |
| 1790306066 | Banner Primary Care Physicians Arizona LLC | Clinic/Center | 501 N Navajo Dr, Page, AZ 86040-0959 | 2020-04-28 |
| 1124467600 | Banner Primary Care Physicians Arizona LLC | Durable Medical Equipment & Medical Supplies | 20751 W Market St, Buckeye, AZ 85396-7893 | 2013-06-18 |
| 1750630836 | Banner Primary Care Physicians Arizona LLC | Durable Medical Equipment & Medical Supplies | 14416 W Meeker Blvd Ste 100, Sun City West, AZ 85375 | 2012-09-05 |
| 1710234703 | Banner Primary Care Physicians Arizona LLC | Clinic/Center | 601 N Navajo, Page, AZ 86040 | 2012-08-08 |
| 1649544362 | Banner Primary Care Physicians Arizona LLC | Clinical Medical Laboratory | 13640 N Plaza Del Rio Blvd, Ste 102, Peoria, AZ 85381-4846 | 2012-02-27 |
| 1093083503 | Banner Primary Care Physicians Arizona LLC | Durable Medical Equipment & Medical Supplies | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 | 2011-12-12 |
| 1417238908 | Banner Primary Care Physicians Arizona LLC | Clinic/Center | 3336 E Chandler Heights Rd, Ste A-101, Gilbert, AZ 85298-4259 | 2011-08-29 |
| Street Address |
2474 E HUNT HWY SUITE 10 |
| City | SAN TAN VALLEY |
| State | AZ |
| Zip Code | 85143-5210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093259301 | Empact - Suicide Prevention Center | Community/Behavioral Health | 2474 E Hunt Hwy, #100, San Tan Valley, AZ 85143-5210 | 2016-12-06 |
| 1144660671 | Wendy Song | Family Medicine | 2474 E Hunt Hwy, Suite 10, San Tan Valley, AZ 85143-5210 | 2013-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619457785 | Shalom Behavioral Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 35301 N Belgian Blue Ct, San Tan Valley, AZ 85143 | 2018-08-18 |
| 1336662337 | House of Dignity Assisted Living LLC | Assisted Living Facility | 214 W Danish Red Trl, San Tan Valley, AZ 85143 | 2017-07-21 |
| 1942744081 | Arizona Dental Professionals, PC | Dentist | 545 E Hunt Hwy, San Tan Valley, AZ 85143 | 2016-12-08 |
| 1285000786 | Jared Scott Snyder | Physical Therapy Assistant | 1745 E Hunt Hwy, Suite 103, San Tan Valley, AZ 85143 | 2015-08-19 |
| 1801289236 | Tiffany Battle | Behavioral Analyst | 2626 E. Manuel Road, San Tan Valley, AZ 85143 | 2015-03-10 |
| 1437541091 | Kelly Denise Griffin | Registered Nurse | 35945 N. Gary Rd, Suite 101, San Tan Valley, AZ 85143 | 2015-02-19 |
| 1528496031 | Casey Manzanedo | Licensed Practical Nurse | 35900 E Charbray Dr., San Tan Valley, AZ 85143 | 2013-10-18 |
| 1891136461 | Lisa Kay Scarpa | Home Health Aide | 925 E Canyon Rock Rd, San Tan Valley, AZ 85143 | 2013-07-11 |
| 1790969426 | Emilia Elizabeth Gomez Vieytez | Pediatrics | 22707 S. Ellsworth Rd H 101, Queen Creek, AZ 85143 | 2007-12-17 |
| 1205814621 | Janet F Rinehart | Family Medicine | 30046 N Varnum Rd, San Tan Valley, AZ 85143 | 2006-01-05 |
| Find all providers in zip 85143 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1386269728 | Blu Advocate Primary Care LLC | Clinic/Center | 13029 W Vista Paseo Dr, Litchfield Park, AZ 85340-5572 | 2020-06-11 |
| 1114541752 | Allied Medical Associates Plc | Clinic/Center | 7525 E Broadway Rd Ste 9, Mesa, AZ 85208-1156 | 2020-05-29 |
| 1679196372 | Total Orthopedics, LLC | Clinic/Center | 4701 N 24th St Ste A1, Phoenix, AZ 85016-9145 | 2020-05-28 |
| 1154941763 | Queen Creek Naturopathic Pllc | Clinic/Center | 21820 S Ellsworth Rd # 101, Queen Creek, AZ 85142-9485 | 2020-04-23 |
| 1043830623 | Fhmc Clinic LLC | Clinic/Center | 9700 N Saguaro Blvd Suite 100, Fountain Hills, AZ 85268-6241 | 2020-04-23 |
| 1952934218 | Thrive Internal Medicine LLC | Clinic/Center | 8102 E Mcdowell Rd Ste 1a, Scottsdale, AZ 85257-3815 | 2020-02-14 |
| 1730712100 | Best Life Family Medicine Pllc | Clinic/Center | 3719 W Anthem Way Ste 102, Anthem, AZ 85086-0477 | 2020-02-13 |
| 1447881933 | Milagros Family Healthcare LLC | Clinic/Center | 11900 N La Canada Dr Unit 68222, Tucson, AZ 85737-4010 | 2020-02-03 |
| 1891334728 | Globaltranz Family Health Clin | Clinic/Center | 7350 N Dobson Rd # 130, Scottsdale, AZ 85256-2710 | 2019-12-23 |
| Find all providers with the same taxonomy | ||||
| City | SAN TAN VALLEY |
| Zip Code | 85143 |
Please comment or provide details below to improve the information on BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC.
| 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.