BANNER ARIZONA ASC LLC; NPI #1417921537

Contact Information

BANNER ARIZONA ASC LLC

14416 W MEEKER BLVD
SUITE 103
SUN CITY WEST, AZ 85375-5284

Phone: 623-583-5280
Fax: 623-583-5277
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for BANNER ARIZONA ASC LLC

NPI # 1417921537

LBN Legal business name BANNER ARIZONA ASC LLC

Authorized official PHILLIP CLENDENIN - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/15/2006

Last updated 09/07/2023 - About 3 years ago

Identifiers

License #

OSC3833

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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BANNER ARIZONA ASC LLC

Contact Information

Specialty

Ambulatory Surgical

NPI Profile & details for BANNER ARIZONA ASC LLC

Reviews for BANNER ARIZONA ASC LLC