National Provider Identifier Database

BANNER HEALTH
Urgent Care


Contact Information

BANNER HEALTH
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 HEALTH

NPI Number 1942613435
Legal business name
LBN
BANNER HEALTH
Authorized official DENNIS LARAWAY - (CFO)
Entity Organization
Organization subpart Yes
Enumeration date 06/03/2014
Last updated 01/31/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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