Banner Good Samaritan Bariatric Program in Phoenix - Clinic/center
Banner Good Samaritan Bariatric Program - NPI 1134172679
Banner Good Samaritan Bariatric Program is a Clinic/center in Phoenix, Arizona. Banner Good Samaritan Bariatric Program practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Banner Good Samaritan Bariatric Program is 1134172679. The last update date is 2007-10-15.
Banner Good Samaritan Bariatric Program's current location address is 1300 N 12th St, Phoenix, Arizona. You can contact this provider via phone number 6022395000 and fax number 6022393339. The mailing address for Banner Good Samaritan Bariatric Program is 1300 N 12th St, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Banner Good Samaritan Bariatric Program |
|---|---|
| Address | 1300 N 12th St, Phoenix, Arizona |
| Phone Number | 6022395000 |
| Fax Number | 6022393339 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR VICE PR |
|---|---|
| Authorized Official Name | Dahlen Dennis |
| Telephone Number | 6024954000 |
NPI Number Detail
| NPI Number | 1134172679 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2007-10-15 |
Provider Mailing Address Detail
| Address | 1300 N 12th St |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 8500628500 |
| Phone Number | 6022395000 |
| Fax Number | 6022393339 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 810871 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Banner Good Samaritan Bariatric Program by the Centers for Medicare & Medicaid Services?
The Banner Good Samaritan Bariatric Program has been assigned the NPI (National Provider Identifier) 1134172679 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Banner Good Samaritan Bariatric Program?
The Banner Good Samaritan Bariatric Program is physically situated at 1300 N 12Th St, in the city of Phoenix, state of AZ, with the postal code 8500628500.
What is Banner Good Samaritan Bariatric Program's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Banner Good Samaritan Bariatric Program is Clinic/center, and the taxonomy classification code that categorizes this area of expertise is 261Q00000X.
When did the Banner Good Samaritan Bariatric Program receive its 1134172679?
The Banner Good Samaritan Bariatric Program was issued its 1134172679 on 2006-05-18, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Banner Good Samaritan Bariatric Program last refreshed?
The information related to the Banner Good Samaritan Bariatric Program, including its address, specialty, and other relevant details, was last updated on 2007-10-15.