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Contact Information

BANNER BEHAVIORAL HEALTH HOSPITAL PRO FEE
7575 E EARLL DR
SCOTTSDALE, AZ85251-6915
 Phone: 480-941-7500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Service

261QH0100X
Indicates primary specialty

NPI Profile & details for BANNER BEHAVIORAL HEALTH HOSPITAL PRO FEE

NPI # 1912042177
LBN Legal business name BANNER BEHAVIORAL HEALTH HOSPITAL PRO FEE
Authorized official DENNIS DAHLEN - (SR. VICE PRESIDENT - FINANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 02/21/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
AZ Medicaid 884008
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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