Banner--University Medical Center Phoenix Campus Hospitalist Services

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

BANNER--UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS HOSPITALIST SERVICES

Practice address

1300 N 12TH St
Ste 507
Phoenix, AZ 85006-2848

Phone

(602) 239-3350

NPI assigned

Jun 19, 2009

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 Dahlen

Title

Chief Financial Officers

Phone

(602) 747-4000

Specialties & licenses 1

Addresses

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

Locations

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430179200000",
    "number": "1831326537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N 12TH ST",
            "address_2": "STE 507",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N 12TH ST",
            "address_2": "STE 507",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062848",
            "telephone_number": "602-239-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANNER--UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS HOSPITALIST SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER HEALTH",
        "enumeration_date": "2009-06-19",
        "last_updated": "2015-04-28",
        "status": "A",
        "authorized_official_last_name": "DAHLEN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICERS",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Banner Urgent Care Services, LLC
• Banner Urgent Care Services, LLC
• Banner Urgent Care Services, LLC
• Banner Urgent Care Services, LLC
• Banner Urgent Care Services, LLC
• Banner-University Medical Center PHX Campus Multispecialty Services
• Banner-University Medical Group
• Sarah SHB Bannister, D.O.
• Larry Louis Bans, M.D.
• Stephen F Bansberg, M.D.

• Multi-Specialty Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Multi-Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; 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.