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Contact Information

BANNER THUNDERBIRD SURGICENTER
5555 - B WEST THUNDERBIRD ROAD
GLENDALE, AZ85306
 Phone: 602-865-5475
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
Indicates primary specialty

NPI Profile & details for BANNER THUNDERBIRD SURGICENTER

NPI # 1447287818
LBN Legal business name BANNER THUNDERBIRD SURGICENTER
Authorized official DENNIS DAHLEN - (SR VICE PRESIDENT FINANCE)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/28/2006
Last updated 01/09/2008 - About 18 years ago
Identifiers
AZ License # OSC 3775
AZ Medicaid 969719
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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