Active NPI
Banner Urgent Care Arizona LLC
- Urgent Care Clinic/Center
- Casa Grande, AZ
National Provider Identifier
1750665980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- BANNER URGENT CARE ARIZONA LLC
- Practice address
- 1676 E McMurray Blvd Ste 1
Casa Grande, AZ 85122-4798 - Phone
- (520) 316-0688
- NPI assigned
- Oct 6, 2011
- Last updated
- Apr 17, 2026
- Organization subpart
- Yes
- Parent organization
- BANNER MEDICAL GROUP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patrick Penrose
- Title
- VP
- Phone
- (602) 747-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
1676 E McMurray Blvd Ste 1
Casa Grande, AZ 85122-4798
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 653587 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111228000784 | AZ | Part B Supplier - Clinic/Group Practice | 3678749496 |
Receives reassigned benefits from 246 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Casa Grande, AZ |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Urgent Care Clinic/Center
- Casa Grande, AZ
- NPI 1316349855
O20111228000784
-
- Urgent Care Clinic/Center
- Lakeside, AZ
- NPI 1831733716
O20111228000784
National Provider Directory
National Provider Directory- Part of
- Tiffany Weathers
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776384000000",
"number": "1750665980",
"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": "1676 E MCMURRAY BLVD STE 1",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851224798",
"telephone_number": "520-316-0688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BANNER URGENT CARE ARIZONA LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BANNER MEDICAL GROUP",
"enumeration_date": "2011-10-06",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A",
"authorized_official_last_name": "PENROSE",
"authorized_official_first_name": "PATRICK",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "602-747-4000"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "653587",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Casa Grande, AZ
- Banner Occupational Health Arizona LLC
- Banner Pharmacy Services LLC (Banner Family Pharmacy-Casa Grande)
- Banner Primary Care Physicians Arizona LLC
- Banner Sleep Centers LLC
- Banner Urgent Care Arizona LLC
- Christina Lynn Barabas, PHARM.D
- Erica Nichols Barajas, APRN
- Baraka Services LLC
- Christy Lynne Barnes, APRN-CNP
- Franklin Herok Baroi, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.