BANNER URGENT CARE ARIZONA LLC; NPI #1750665980

Contact Information

BANNER URGENT CARE ARIZONA LLC

1676 E MCMURRAY BLVD STE 1
CASA GRANDE, AZ 85122-4798

Phone: 520-316-0688
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Urgent Care	261QU0200X

Indicates primary specialty

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NPI Profile & details for BANNER URGENT CARE ARIZONA LLC

NPI Number 1750665980

LBN Legal business name BANNER URGENT CARE ARIZONA LLC

Authorized official PATRICK PENROSE - (VP)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 10/06/2011

Last updated 04/17/2026 - About 2 months ago

Identifiers

Medicaid

653587

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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