Banner Mesa Medical Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

H-127 Issued in AZ

Legal business name

BANNER MESA MEDICAL CENTER

Practice address

1010 N Country Club Dr
Mesa, AZ 85201-3309

Phone

(480) 834-1211

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Dennis E Dahlen

Title

Sr Vice President Finance

Phone

(602) 747-4000

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

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

• Banner Health

  • Critical Access Hospital
  • Payson, AZ
  • NPI 1063923340

  Member Of

  NPD member

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891729828",
    "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": "1010 N COUNTRY CLUB DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852013309",
            "telephone_number": "480-834-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANNER MESA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAHLEN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SR VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AZ",
            "license": "H-127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020602",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Banner Home Care-Arizona
• Banner Medical Group Adult Sleep, LLC
• Banner Medical Group Pediatric Sleep, LLC
• Banner Mesa Medical Center
• Banner Mesa Medical Center
• Banner Mesa Surgery Center LLC
• Banner Occupational Health Arizona LLC
• Banner Pediatric Specialists LLC
• Banner Pharmacy Services LLC
• Banner Pharmacy Services LLC

• General Acute Care Hospital in Mesa, AZ
• Providers in Mesa, AZ by specialty
• General Acute Care Hospital in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.