Banner Arizona Medical Clinic Ltd in Peoria - Prosthetic/orthotic Supplier
Banner Arizona Medical Clinic Ltd - NPI 1578694055
Banner Arizona Medical Clinic Ltd is a Prosthetic/orthotic Supplier in Peoria, Arizona. Banner Arizona Medical Clinic Ltd practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Banner Arizona Medical Clinic Ltd is 1578694055. The last update date is 2008-09-19.
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. 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 | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Burke Margaret |
| Telephone Number | 6238763967 |
NPI Number Detail
| NPI Number | 1578694055 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2008-09-19 |
Provider Mailing Address Detail
| Address | 13640 N Plaza Del Rio Blvd |
|---|---|
| City | Peoria |
| State | Arizona (AZ) |
| Post Code | 853814846 |
| Phone Number | 6238763800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
| Licence No | OTC3936 |
|
Definition: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological f |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 516437 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Banner Arizona Medical Clinic Ltd by the Centers for Medicare & Medicaid Services?
The Banner Arizona Medical Clinic Ltd has been issued the NPI (National Provider Identifier) 1578694055, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Banner Arizona Medical Clinic Ltd's facilities are situated?
The facilities of Banner Arizona Medical Clinic Ltd are physically located at the following address: 13640 N Plaza Del Rio Blvd, Peoria, AZ, 853814846.
What is the Banner Arizona Medical Clinic Ltd's specialty and taxonomy code?
The Banner Arizona Medical Clinic Ltd's specialty is Prosthetic/orthotic Supplier, and the corresponding taxonomy code is 335E00000X.
On what date did the Banner Arizona Medical Clinic Ltd receive its 1578694055 assignment from the Centers for Medicare & Medicaid Services?
The Banner Arizona Medical Clinic Ltd was assigned its 1578694055 by the Centers for Medicare & Medicaid Services on 2007-03-08.
When was the information regarding Banner Arizona Medical Clinic Ltd most recently updated?
The details pertaining to the Banner Arizona Medical Clinic Ltd, including its address, specialty, and other relevant information, were last refreshed on 2008-09-19.