Active NPI
Banner Health
- General Acute Care Hospital
- Casa Grande, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- BANNER HEALTH
- Practice address
- 1828 E Florence Blvd Ste 115
Casa Grande, AZ 85122-4784 - Phone
- (520) 381-6787
- NPI assigned
- Mar 14, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paris Labruzzo
- Title
- Sr Director Regulatory & Licensing
- Phone
- (602) 747-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Primary |
Addresses
Primary practice location
1828 E Florence Blvd Ste 115
Casa Grande, AZ 85122-4784
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Other practice location 1
1828 E Florence Blvd Ste 108
Casa Grande, AZ 85122-4783
Phone (520) 381-6558
Other practice location 2
1800 E Florence Blvd
Casa Grande, AZ 85122-5303
Phone (520) 381-6300
Other practice location 3
1828 E Florence Blvd Ste 139
Casa Grande, AZ 85122-4783
Phone (520) 381-6150
Other names 1
- Banner Casa Grande Medical Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC / Office Ally |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140624001220 | AZ | Part A Provider - Hospital | 9537078365 | Practice locations: Casa Grande, AZ |
Hospital certification: CCN 030016
- Legal name
- BANNER HEALTH
- Doing business as
- BANNER CASA GRANDE MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Nov 22, 2018
- Beds
- 141
- Ownership / control type
- Other
- Most recent change of ownership
- Jun 9, 2014 (4 total)
- Organization structure
- Corporation
- Enrollment address
- 1800 E Florence Blvd
Casa Grande, AZ 85122-5303 - Hospital subgroups
- General
Other NPIs with the same Medicare PAC ID 10
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Care Compare: Hospital
Medicare Care Compare- Listed as
- Banner Casa Grande Medical Center
- Overall star rating
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Other
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D0529360 | Banner Health | Accreditation | Jan 2, 2027 |
| 03D2076777 | Banner Health Dba Bcgmc Respiratory Department | Accreditation | Nov 3, 2027 |
| 03D2087104 | Banner Health | Certificate of waiver | Nov 17, 2026 |
| 03D2185870 | Banner Health Dba | Certificate of waiver | Jun 9, 2028 |
National Provider Directory
National Provider DirectoryLocations
1828 E Florence Blvd
Ste 115
Casa Grande, AZ 85122
Phone (520) 381-6787
1828 E Florence Blvd
Ste 108
Casa Grande, AZ 85122
Phone (520) 381-6558
Ownership & related parties
All disclosed owners & managing parties 24
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Julie Ann Alvarado-Dubek | Corporate Officer | Feb 1, 2022 | |
| Marjorie J Bessel | Corporate Officer | Jan 1, 2018 | |
| Jean Lance | Corporate Officer | Jun 30, 2022 | |
| Staci Dickerson | Corporate Officer | Jul 17, 2023 | |
| Carole Faig | Corporate Director | Mar 1, 2026 | |
| Paris Labruzzo | Corporate Director | Feb 1, 2026 | |
| W-2 Managing Employee | Feb 1, 2026 | ||
| Dean M Harrison | Corporate Director | Sep 1, 2023 | |
| Anne Mariucci | Corporate Director | Mar 1, 2015 | |
| Sujata Gosalia | Corporate Director | Sep 1, 2018 | |
| Brenda a Schaefer | Corporate Officer | Mar 6, 2014 | |
| Quentin P Smith | Corporate Director | Sep 1, 1999 | |
| Vicki Keiser | Corporate Director | Jun 1, 2017 | |
| Holly Gregory | Corporate Director | Feb 1, 2026 | |
| W-2 Managing Employee | Feb 1, 2026 | ||
| Sara Ward | Corporate Director | Sep 1, 2023 | |
| Michael L Butler | Corporate Director | Sep 1, 2025 | |
| Mary Schubert | Corporate Officer | Jan 1, 2024 | |
| Amy Perry | Corporate Officer | Nov 1, 2021 | |
| Rick Myers | Corporate Director | Sep 1, 2023 | |
| John F Koster | Corporate Director | Dec 11, 2015 | |
| Mark Wallace | Corporate Director | Sep 1, 2021 | |
| Christopher H Volk | Corporate Director | Dec 9, 2009 | |
| Michael Garnreiter | Corporate Director | Aug 1, 2012 | |
| John Scherpf | Corporate Officer | Jun 12, 2022 | |
| W-2 Managing Employee | Jun 12, 2022 | ||
| Banner Health | 5% Or Greater Direct Ownership Interest | Jun 9, 2014 | 100% |
Owners & managing parties with NPI records 11
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Critical Access Hospital
- Payson, AZ
- NPI 1063923340
5% Or Greater Direct Ownership Interest
-
- Rural Health Clinic/Center
- Payson, AZ
- NPI 1073223012
5% Or Greater Direct Ownership Interest
-
- Rural Health Clinic/Center
- Pine, AZ
- NPI 1245940287
5% Or Greater Direct Ownership Interest
-
- Medicare Defined Swing Bed Hospital Unit
- Payson, AZ
- NPI 1861077414
5% Or Greater Direct Ownership Interest
-
- General Acute Care Hospital
- Chandler, AZ
- NPI 1972139004
5% Or Greater Direct Ownership Interest
-
- Multi-Specialty Clinic/Center
- Susanville, CA
- NPI 1205267549
5% Or Greater Direct Ownership Interest
-
- Community Based Hospice Care Agency
- Greeley, CO
- NPI 1407409964
5% Or Greater Direct Ownership Interest
-
- Radiology Clinic/Center
- Susanville, CA
- NPI 1427740570
5% Or Greater Direct Ownership Interest
-
- Durable Medical Equipment & Medical Supplies
- Casper, WY
- NPI 1528846912
5% Or Greater Direct Ownership Interest
-
- General Acute Care Hospital
- Fort Collins, CO
- NPI 1659787554
5% Or Greater Direct Ownership Interest
All facility ownership & control disclosures 60
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Banner - University Medical Center Phoenix | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
May 1, 2003 May 1, 2003 |
| Banner Desert Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Sep 1, 1999 Sep 1, 1999 |
| Banner Thunderbird Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
May 1, 2003 May 1, 2003 |
| Banner Heart Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Aug 1, 2001 Aug 1, 2001 |
| Banner Baywood Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
May 1, 2003 May 1, 2003 |
| Banner Lassen Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Feb 1, 2003 Feb 1, 2003 |
| Banner Behavioral Health Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Sep 1, 1999 Feb 2, 2015 |
| Banner Estrella Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2004 |
| Platte County Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Oct 1, 2002 Oct 1, 2002 |
| Washakie Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2003 |
| Community Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2003 Mar 18, 2015 |
| Banner Gateway Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Aug 15, 2007 |
| Community Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2003 Jan 22, 2015 |
| Banner Boswell Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2008 |
| Banner del E Webb Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jun 12, 2008 Jun 12, 2008 |
| Banner del E Webb Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Aug 1, 2008 Aug 1, 2008 |
| Wyoming Medical Center Inc | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Oct 1, 2020 |
| Banner North Colorado Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Aug 15, 2007 May 1, 2003 |
| Ogallala Community Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 5, 2009 |
| Ogallala Community Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1987 |
| Sterling Regional Medcenter | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Aug 15, 2007 |
| Banner - University Medical Center Phoenix | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Sep 1, 1999 Sep 1, 1999 |
| Banner Thunderbird Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 1999 |
| Banner Ironwood Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Nov 1, 2010 Nov 1, 2010 |
| Platte County Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Sep 21, 2010 Oct 1, 2002 |
| Page Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Sep 1, 1999 Sep 1, 1999 |
| Page Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Sep 1, 1999 Sep 1, 1999 |
| East Morgan County Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| East Morgan County Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| Banner Goldfield Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
May 15, 2013 May 15, 2013 |
| Washakie Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2013 |
| Banner - University Medical Center South Campus LLC | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 31, 2015 |
| Banner - University Medical Center South Campus LLC | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 31, 2015 Jan 31, 2015 |
| Banner - University Medical Center Tucson Campus LLC | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 31, 2015 Jan 31, 2015 |
| Banner Churchill Community Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2015 |
| Banner Health | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Apr 6, 2015 |
| Banner Payson Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2018 |
| Banner Rehabilitation Hospital | Hospital | 5% Or Greater Direct Ownership Interest (49%) | Aug 1, 2020 |
| Banner Ocotillo Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Nov 2, 2020 Nov 2, 2020 |
| Banner Health | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2018 |
| Banner Lassen Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Feb 1, 2003 Feb 1, 2003 |
| Banner Same-Day Care | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Aug 15, 2007 Aug 15, 2007 |
| Banner Home Care-Arizona | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Sep 19, 2007 |
| Banner Home Care Colorado | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2010 |
| Banner Home Care-Arizona | Home health agency | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Aug 1, 2015 Aug 1, 2015 |
| Banner Home Care-Arizona | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Jan 31, 2017 |
| Banner Hospice of Northern Colorado | Hospice | Operational/Managerial Control | Apr 8, 2019 |
| Banner Medical Clinic Torrington | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
May 1, 2017 May 1, 2017 |
| Banner Medical Clinic Guernsey | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
May 1, 2017 May 1, 2017 |
| Banner Medical Clinic Wheatland | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
May 1, 2017 May 1, 2017 |
| Banner Health Clinic Fallon | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2018 Jan 1, 2018 |
| Banner Health Center Fernley | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2018 Jan 1, 2018 |
| Ogallala Community Hospital | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2018 Jan 1, 2018 |
| Banner Health Clinic Fort Morgan | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2018 Jan 1, 2018 |
| Banner Health Center Sterling | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Feb 2, 2015 Feb 2, 2015 |
| Banner Family Care Clinic - Sterling | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2004 Jan 1, 2004 |
| Banner Health Clinic Page | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Feb 1, 2018 Feb 1, 2018 |
| Banner Family Medicine Brush | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2004 Jan 1, 2004 |
| Banner Payson Medical Center - Banner Health Clinic Payson | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2018 |
| Banner Payson Medical Center - Banner Health Clinic Pine | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2018 |
Owned or controlled facilities with NPI records 79
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Psychiatric Hospital Unit
- Phoenix, AZ
- NPI 1629122171
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1841224870
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1558759498
5% Or Greater Direct Ownership Interest
-
- Psychiatric Hospital Unit
- Tucson, AZ
- NPI 1801284617
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Nutrition Education Nutritionist
- Tucson, AZ
- NPI 1922660182
5% Or Greater Direct Ownership Interest
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1265820179
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Nutrition Education Nutritionist
- Tucson, AZ
- NPI 1861102881
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1194758284
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Psychiatric Hospital
- Scottsdale, AZ
- NPI 1942319199
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- General Acute Care Hospital
- Sun City, AZ
- NPI 1952560914
5% Or Greater Direct Ownership Interest
-
- General Acute Care Hospital
- Sun City West, AZ
- NPI 1588823553
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Psychiatric Hospital Unit
- Sun City West, AZ
- NPI 1588825848
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Facilities with the same owner 59
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Psychiatric Hospital Unit
- Phoenix, AZ
- NPI 1629122171
Banner Health
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1841224870
Banner Health
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1558759498
Banner Health
-
- Psychiatric Hospital Unit
- Tucson, AZ
- NPI 1801284617
Banner Health
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1265820179
Banner Health
-
- General Acute Care Hospital
- Sun City West, AZ
- NPI 1588823553
Banner Health
-
- Psychiatric Hospital Unit
- Sun City West, AZ
- NPI 1588825848
Banner Health
Practitioners & affiliated clinicians
Practitioners 52
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Payson, AZ
- NPI 1841784428
-
- Family Medicine Physician
- Payson, AZ
- NPI 1194393868
-
- Family Medicine Physician
- Payson, AZ
- NPI 1912573825
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1215984349
-
- Obstetrics & Gynecology Physician
- Tucson, AZ
- NPI 1669828232
-
- Family Nurse Practitioner
- Glendale, AZ
- NPI 1306860630
-
- Family Nurse Practitioner
- Phoenix, AZ
- NPI 1225443815
-
- Family Medicine Physician
- Payson, AZ
- NPI 1093784712
-
- Family Medicine Physician
- Payson, AZ
- NPI 1417695206
-
- Diagnostic Radiology Physician
- Carson City, NV
- NPI 1326048018
-
- Family Nurse Practitioner
- Porterville, CA
- NPI 1154942209
-
- Family Nurse Practitioner
- Susanville, CA
- NPI 1043844947
Affiliated clinicians 161
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Anatomic Pathology & Clinical Pathology Physician
- Tucson, AZ
- NPI 1003904020
Hospital
-
- Anatomic Pathology & Clinical Pathology Physician
- Casa Grande, AZ
- NPI 1669688719
Hospital
-
- Critical Care Medicine (Internal Medicine) Physician
- Glendale, AZ
- NPI 1790773844
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776643200000",
"number": "1003232976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 N CENTRAL AVE STE 160",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1828 E FLORENCE BLVD STE 115",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851224784",
"telephone_number": "520-381-6787"
}
],
"practiceLocations": [
{
"address_1": "1828 E Florence Blvd Ste 108",
"address_purpose": "LOCATION",
"city": "Casa Grande",
"state": "AZ",
"postal_code": "851224783",
"country_code": "US",
"telephone_number": "520-381-6558",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1800 E Florence Blvd",
"address_purpose": "LOCATION",
"city": "Casa Grande",
"state": "AZ",
"postal_code": "851225303",
"country_code": "US",
"telephone_number": "520-381-6300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1828 E Florence Blvd Ste 139",
"address_purpose": "LOCATION",
"city": "Casa Grande",
"state": "AZ",
"postal_code": "851224783",
"country_code": "US",
"telephone_number": "520-381-6150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BANNER HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-14",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A",
"authorized_official_last_name": "LABRUZZO",
"authorized_official_first_name": "PARIS",
"authorized_official_title_or_position": "SR DIRECTOR REGULATORY & LICENSING",
"authorized_official_telephone_number": "602-747-4000"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC / Office Ally",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Banner Casa Grande Medical Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Banner Casa Grande Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.