Banner Boswell Medical Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BANNER BOSWELL MEDICAL CENTER

Doing business as

Banner Boswell Rehabilitation Center

Practice address

10601 W Santa Fe Dr
Sun City, AZ 85351-3036

Phone

(623) 974-7000

NPI assigned

Jun 12, 2008

Last updated

Dec 27, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

BANNER HEALTHAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dennis Laraway

Title

Cfo

Phone

(602) 747-4000

Specialties & licenses 1

Addresses

Other names 1

• Banner Boswell Rehabilitation Center Doing business as

Part of

Big Horn Family Med

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Banner Health

  dba Banner Casa Grande Medical Center

  • General Acute Care Hospital
  • Casa Grande, AZ
  • NPI 1003232976

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1053571182",
    "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": "10601 W SANTA FE DR",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513036",
            "telephone_number": "623-974-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANNER BOSWELL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER HEALTH",
        "enumeration_date": "2008-06-12",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "LARAWAY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Banner Boswell Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Banner Boswell Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shanae Jeanette Baines, RN
• Clifford Tsuyoshi Baker, M.D
• Krishnan R Bala, D D S
• Alfonso G. Ballesteros, M.D.
• Banner Arizona Medical Clinic LTD
• Banner Boswell Medical Center
• Banner Boswell Medical Center
• Banner Health (Banner Primary Care Sun City West)
• Banner Home Care-Arizona
• Banner Imaging Services LLC

• Skilled Nursing Facility in Sun City, AZ
• Providers in Sun City, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.