National Provider Identifier Database

BANNER URGENT CARE ARIZONA LLC
Urgent Care


Contact Information

BANNER URGENT CARE ARIZONA LLC
1676 E MCMURRAY BLVD STE 1
CASA GRANDE, AZ85122-4798
Phone: 520-316-0688
Fax:
Website:
Specialty Taxonomy Code
* Urgent Care 261QU0200X

* Indicates primary specialty

NPI Profile & details for BANNER URGENT CARE ARIZONA LLC

NPI Number 1750665980
Legal business name
LBN
BANNER URGENT CARE ARIZONA LLC
Authorized official PATRICK PENROSE - (VP)
Entity Organization
Organization subpart Yes
Enumeration date 10/06/2011
Last updated 04/17/2026 - About 2 months ago
Sole proprietor1 Not specified
Identifiers
  • AZ Medicaid: 653587

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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