Banner Employer Services Clinic

Primary specialty

Corporate Health Clinic/CenterTaxonomy code 261QC1800X

Legal business name

BANNER EMPLOYER SERVICES CLINIC

Practice address

1 N Central Ave Ste 105
Phoenix, AZ 85004-4416

Phone

(602) 255-7650

Fax

(602) 255-7653

NPI assigned

Feb 18, 2020

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 Laraway

Title

Cfo

Phone

(602) 747-4000

Specialties & licenses 1

Addresses

Part of

M E Lee MD

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1902439045",
    "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": "1 N CENTRAL AVE STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044416",
            "telephone_number": "602-255-7650",
            "fax_number": "602-255-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANNER EMPLOYER SERVICES CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER HEALTH",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "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": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Banner Childrens Banner Health Clinic LLC
• Banner Childrens Banner Health Clinic LLC
• Banner Concierge Services Arcadia LLC
• Banner Concierge Services LLC
• Banner Desert Sky Medical Clinic
• Banner Employer Services Team LLC
• Banner Estrella Medical Center
• Banner Estrella Medical Center
• Banner Estrella Medical Center
• Banner Estrella Surgery Center

• Corporate Health Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Corporate Health Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.