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Contact Information

BANNER CANCER CENTER SPECIALISTS LLC
807 S PONDEROSA ST
PAYSON, AZ85541-5542
 Phone: 928-471-3222
 Fax: 928-472-3404
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oncology

261QX0200X
Indicates primary specialty

NPI Profile & details for BANNER CANCER CENTER SPECIALISTS LLC

NPI # 1588158448
LBN Legal business name BANNER CANCER CENTER SPECIALISTS LLC
Authorized official SHIVA BIRDI - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/14/2018
Last updated 03/06/2025 - More than a year ago
Identifiers n/a
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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