BANNER BLOOD AND MARROW TRANSPLANT PROGRAM; NPI #1407883747

Contact Information

BANNER BLOOD AND MARROW TRANSPLANT PROGRAM

1111 E MCDOWELL RD
PHOENIX, AZ 85006-2612

Phone: 602-239-4526
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Health Service	261QH0100X

Indicates primary specialty

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NPI Profile & details for BANNER BLOOD AND MARROW TRANSPLANT PROGRAM

NPI Number 1407883747

LBN Legal business name BANNER BLOOD AND MARROW TRANSPLANT PROGRAM

Authorized official DENNIS DAHLEN - (SR VICE PRESIDENT FINANCE)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 06/26/2006

Last updated 07/08/2009 - About 17 years ago

Identifiers

Medicaid

776651

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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