Active NPI
Banner - University Medical Center Tucson Campus LLC
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
National Provider Identifier
1417417221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS LLC
- Practice address
- 1501 N Campbell Ave RM 6604
Tucson, AZ 85724-0001 - Phone
- (520) 694-4647
- NPI assigned
- Mar 20, 2019
- Last updated
- Dec 23, 2021
- 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
- Dennis Laraway
- Title
- Cfo
- Phone
- (602) 747-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1501 N Campbell Ave RM 6604
Tucson, AZ 85724-0001
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
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
1501 N Campbell Ave
Rm 6604
Tucson, AZ 85724
Phone (520) 694-4647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640217600000",
"number": "1417417221",
"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": "1501 N CAMPBELL AVE RM 6604",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857240001",
"telephone_number": "520-694-4647"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BANNER HEALTH",
"enumeration_date": "2019-03-20",
"last_updated": "2021-12-23",
"certification_date": "2021-12-23",
"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": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
- Banner - University Medical Center South Campus LLC
- Banner - University Medical Center Tucson Campus LLC
- Banner - University Medical Center Tucson Campus LLC
- Banner - University Medical Center Tucson Campus LLC
- Banner - University Medical Center Tucson Campus LLC
- Banner - University Medical Center Tucson Campus LLC
- Banner - University Medical Center Tucson Campus LLC
- Banner - University Medical Center Tucson Campus LLC
- Banner - University Medical Center Tucson Campus LLC
- Banner - University Medical Center Tucson Campus LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.