National Provider Identifier Database

BANNER THUNDERBIRD MEDICAL CENTER
General Acute Care Hospital

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.


Contact Information

BANNER THUNDERBIRD MEDICAL CENTER
5555 W THUNDERBIRD RD
GLENDALE, AZ85306-4622
Phone: 602-865-5555
Fax:
Website:
Specialty Taxonomy Code
* General Acute Care Hospital 282N00000X
Community/Behavioral Health 251S00000X
Infusion Therapy 261QI0500X
Oncology 261QX0200X

* Indicates primary specialty

NPI Profile & details for BANNER THUNDERBIRD MEDICAL CENTER

NPI Number 1154355188
Legal business name
LBN
BANNER THUNDERBIRD MEDICAL CENTER
Authorized official DALE JOHNS - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 07/10/2006
Last updated 04/13/2026 - About 2 months ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: H-92
  • AZ Medicaid: 529943
  • AZ Medicaid: 836398

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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