National Provider Identifier Database

BANNER BEHAVIORAL HEALTH HOSPITAL PRO FEE
Health Service


Contact Information

BANNER BEHAVIORAL HEALTH HOSPITAL PRO FEE
7575 E EARLL DR
SCOTTSDALE, AZ85251-6915
Phone: 480-941-7500
Fax:
Website:
Specialty Taxonomy Code
* Health Service 261QH0100X

* Indicates primary specialty

NPI Profile & details for BANNER BEHAVIORAL HEALTH HOSPITAL PRO FEE

NPI Number 1912042177
Legal business name
LBN
BANNER BEHAVIORAL HEALTH HOSPITAL PRO FEE
Authorized official DENNIS DAHLEN - (SR. VICE PRESIDENT - FINANCE)
Entity Organization
Organization subpart No
Enumeration date 02/21/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ Medicaid: 884008

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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