NPIMap

Organization Active NPI

Banner Ironwood Medical Center

  • General Acute Care Hospital
  • Queen Creek, AZ
National Provider Identifier
1124341672
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
BANNER IRONWOOD MEDICAL CENTER
Practice address
37000 N Gantzel Rd
Queen Creek, AZ 85140-7303
Phone
(480) 394-4000
NPI assigned
Mar 11, 2010
Last updated
Apr 15, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
BANNER HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Authorized official

Name
Darren McCollem
Title
Ceo
Phone
(602) 747-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

37000 N Gantzel Rd
Queen Creek, AZ 85140-7303

Mailing address

2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Phone (602) 747-4000

Electronic endpoints 1

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
O20101020001481 AZ Part A Provider - Hospital 6800089947 Practice locations: Queen Creek, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124341672. Details of each certification follow.

Hospital certification: CCN 030130

Legal name
BANNER IRONWOOD MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Nov 12, 2010
Last certification
Sep 15, 2017
Beds
53
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
37000 N Gantzel Rd
Queen Creek, AZ 85140-7303
Main/Primary Hospital Location
Hospital subgroups
Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Banner Ironwood Medical CenterCCN 030130 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2008842Banner Ironwood Medical Center37000 N Gantzel Road, Queen Creek, AZ 85140AccreditationOct 18, 2027
03D2013557Banner Ironwood Medical Center Respiratory Lab37000 N Gantzel Road, Queen Creek, AZ 85140AccreditationSep 6, 2027
03D2014168Banner Ironwood Medical Center Poc37000 N Gantzel Rd, San Tan Valley, AZ 85140AccreditationApr 7, 2028

National Provider Directory

National Provider Directory
Part of
M E Lee MD

Member of 1

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

  • Banner Health

    dba Banner Hospice of Northern Colorado

    • Community Based Hospice Care Agency
    • Greeley, CO
    • NPI 1407409964

    Member Of

    NPD member

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.

NameRoleSinceShare
Julie Ann Alvarado-Dubek Individual Corporate OfficerVP/CHR Feb 1, 2022
Marjorie J Bessel Individual Corporate OfficerChief Clinical Officer Jan 1, 2018
Jean Lance Individual Corporate OfficerChief Legal Officer Jun 30, 2022
Staci Dickerson Individual Corporate OfficerCfo Jul 17, 2023
Carole Faig Individual Corporate DirectorBoard Member Mar 1, 2026
Paris Labruzzo Individual Corporate DirectorSr Director Feb 1, 2026
W-2 Managing Employee Feb 1, 2026
Dean M Harrison Individual Corporate DirectorBoard Member Sep 1, 2023
Anne Mariucci Individual Corporate DirectorBoard Member Mar 1, 2015
Sujata Gosalia Individual Corporate DirectorDirector Sep 1, 2018
Brenda a Schaefer Individual Corporate DirectorVice President/Treasurer Mar 16, 2014
Quentin P Smith Individual Corporate DirectorBoard Member Nov 1, 2010
Vicki Keiser Individual Corporate DirectorDirector Jun 1, 2017
Holly Gregory Individual Corporate DirectorSr Manager Feb 1, 2026
W-2 Managing Employee Feb 1, 2026
Sara Ward Individual Corporate DirectorBoard Member Sep 1, 2023
Michael L Butler Individual Corporate DirectorBoard Member Sep 1, 2025
Mary Schubert Individual Corporate OfficerAssistant Secretary Jan 1, 2024
Amy Perry Individual Corporate OfficerChief Operating Officer Nov 1, 2021
Rick Myers Individual Corporate DirectorBoard Member Sep 1, 2023
Darren McCollem Individual Corporate DirectorCeo Mar 30, 2026
W-2 Managing Employee Mar 30, 2026
John F Koster Individual Corporate DirectorBoard Member Dec 11, 2015
Mark Wallace Individual Corporate DirectorBoard Member Sep 1, 2021
Christopher H Volk Individual Corporate DirectorBoard Member Nov 1, 2010
Michael Garnreiter Individual Corporate DirectorBoard Member Aug 1, 2012
Banner Health Organization, Phoenix, AZ Non-profit 5% Or Greater Direct Ownership Interest Nov 1, 2010 100%
Operational/Managerial Control Nov 1, 2010 100%

Owners & managing parties with NPI records 12

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Banner Health

    dba Banner Casa Grande Medical Center

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

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Banner Health

    dba Banner Payson Medical Center

    • Critical Access Hospital
    • Payson, AZ
    • NPI 1063923340

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Banner Health

    dba Banner Payson Medical Center - Banner Health Clinic Payson

    • Rural Health Clinic/Center
    • Payson, AZ
    • NPI 1073223012

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Banner Health

    dba Banner Payson Medical Center - Banner Health Clinic Pine

    • Rural Health Clinic/Center
    • Pine, AZ
    • NPI 1245940287

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Banner Health

    dba Banner Payson Medical Center

    • Medicare Defined Swing Bed Hospital Unit
    • Payson, AZ
    • NPI 1861077414

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Banner Health

    dba Banner Ocotillo Medical Center

    • General Acute Care Hospital
    • Chandler, AZ
    • NPI 1972139004

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Marjorie Bessel, MD
    • Internal Medicine Physician
    • Gilbert, AZ
    • NPI 1710002068

    Corporate Officer

    CMS ownership
  • Banner Health
    • Multi-Specialty Clinic/Center
    • Susanville, CA
    • NPI 1205267549

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Banner Health

    dba Banner Hospice of Northern Colorado

    • Community Based Hospice Care Agency
    • Greeley, CO
    • NPI 1407409964

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Banner Health
    • Radiology Clinic/Center
    • Susanville, CA
    • NPI 1427740570

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Banner Health
    • Durable Medical Equipment & Medical Supplies
    • Casper, WY
    • NPI 1528846912

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Banner Health

    dba Banner Fort Collins Medical Center

    • General Acute Care Hospital
    • Fort Collins, CO
    • NPI 1659787554

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 59

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 59

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 41

Affiliated clinicians 217

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 217

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1124341672",
    "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",
            "telephone_number": "602-747-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37000 N GANTZEL RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851407303",
            "telephone_number": "480-394-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANNER IRONWOOD MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER HEALTH",
        "enumeration_date": "2010-03-11",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "MCCOLLEM",
        "authorized_official_first_name": "DARREN",
        "authorized_official_title_or_position": "CEO",
        "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": []
}

Other providers in Queen Creek, AZ

Sources for this page

Verify at the official NPI Registry.