Banner Arizona Medical Clinic Ltd in Peoria - Multi-specialty
Banner Arizona Medical Clinic Ltd - NPI 1750347936
Banner Arizona Medical Clinic Ltd is a Multi-specialty in Peoria, Arizona. Banner Arizona Medical Clinic Ltd practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Banner Arizona Medical Clinic Ltd is 1750347936. The last update date is 2008-12-03.
Banner Arizona Medical Clinic Ltd's current location address is 13640 N Plaza Del Rio Blvd, Peoria, Arizona. You can contact this provider via phone number 6238763800 and fax number 6239729590. The mailing address for Banner Arizona Medical Clinic Ltd is 13640 N Plaza Del Rio Blvd, Peoria, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Banner Arizona Medical Clinic Ltd |
|---|---|
| Address | 13640 N Plaza Del Rio Blvd, Peoria, Arizona |
| Phone Number | 6238763800 |
| Fax Number | 6239729590 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR VICE PR |
|---|---|
| Authorized Official Name | Dahlen Dennis |
| Telephone Number | 6027474000 |
NPI Number Detail
| NPI Number | 1750347936 |
|---|---|
| Provider Enumeration Date | 2006-04-25 |
| Last Updated Date | 2008-12-03 |
Provider Mailing Address Detail
| Address | 13640 N Plaza Del Rio Blvd |
|---|---|
| City | Peoria |
| State | Arizona (AZ) |
| Post Code | 853814846 |
| Phone Number | 6238763800 |
| Fax Number | 6239729590 |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
| Licence No | OTC3936 |
|
Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 516437 | AZ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Banner Arizona Medical Clinic Ltd by the Centers for Medicare & Medicaid Services?
The Banner Arizona Medical Clinic Ltd has been assigned the NPI (National Provider Identifier) 1750347936. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Banner Arizona Medical Clinic Ltd located?
The Banner Arizona Medical Clinic Ltd is located at 13640 N Plaza Del Rio Blvd, Peoria, AZ 853814846.
What is Banner Arizona Medical Clinic Ltd's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Banner Arizona Medical Clinic Ltd is Multi-specialty, and the taxonomy code that classifies this field of practice is 261Qm1300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1750347936 to Banner Arizona Medical Clinic Ltd?
The Banner Arizona Medical Clinic Ltd received its 1750347936 assignment from the Centers for Medicare & Medicaid Services on 2006-04-25.
As of what date were the details pertaining to Banner Arizona Medical Clinic Ltd last refreshed?
The information related to the Banner Arizona Medical Clinic Ltd, including its address, specialty, and other relevant details, was last updated on 2008-12-03.