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Contact Information

BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS CRITICAL CARE
1111 E MCDOWELL RD
PHOENIX, AZ85006-2612
 Phone: 602-239-2217
 Fax: 602-239-2718
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS CRITICAL CARE

NPI Number 1306899356
LBN Legal business name BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS CRITICAL CARE
Authorized official DENNIS DAHLEN - (SR VICE PRESIDENT - FINANCE)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/19/2006
Last updated 02/26/2015 - About 11 years ago
Identifiers
AZ Medicaid 767840
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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