Active NPI
Banner Gateway Medical Center
- Durable Medical Equipment & Medical Supplies
- Gilbert, AZ
National Provider Identifier
1104103555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- BANNER GATEWAY MEDICAL CENTER
- Practice address
- 2946 E Banner Gateway Drive
RM 2008
Gilbert, AZ 85234 - Phone
- (480) 256-6444
- NPI assigned
- Nov 14, 2011
- Last updated
- Jun 13, 2025
- Organization subpart
- Yes
- Parent organization
- BANNER HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Darren E McCollem
- Title
- Ceo
- Phone
- (602) 747-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
2946 E Banner Gateway Drive
RM 2008
Gilbert, AZ 85234
Mailing address
1441 N 12TH St
Phoenix, AZ 85006-2837
Other names 1
- Boutique of Hope
National Provider Directory
National Provider Directory- Part of
- Big Horn Family Med
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Banner Hospice of Northern Colorado
- Community Based Hospice Care Agency
- Greeley, CO
- NPI 1407409964
Member Of
Locations
2946 E Banner Gateway Dr
Rm 2008
Gilbert, AZ 85234
Phone (480) 256-4523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749772800000",
"number": "1104103555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 N 12TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2946 E BANNER GATEWAY DRIVE",
"address_2": "RM 2008",
"city": "GILBERT",
"state": "AZ",
"postal_code": "85234",
"telephone_number": "480-256-6444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BANNER GATEWAY MEDICAL CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BANNER HEALTH",
"enumeration_date": "2011-11-14",
"last_updated": "2025-06-13",
"certification_date": "2025-06-13",
"status": "A",
"authorized_official_last_name": "MCCOLLEM",
"authorized_official_first_name": "DARREN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "602-747-4000"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Boutique of Hope",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.