BANNER HEALTH (NPI# 1326476813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326476813 |
| Entity Type | Organization |
| Organization Name | BANNER HEALTH |
| Other Organization Name | BANNER HEALTH CLINIC-32ND ST INTERNAL MEDICINE |
| Practice Address |
4400 N 32nd St Suite 140 Phoenix AZ 85018-3953 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 6025534848 |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2013-10-22 |
| Authorized Official Name | KENNY HEINE (VP OF OPERATIONS) |
| Authorized Official Telephone | 8589641506 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 20737 | AZ | Suppliers |
| Other Name | Type Code |
|---|---|
| Banner Health Clinic-32nd St Internal Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972139004 | Banner Health | General Acute Care Hospital | 1405 S Alma School Rd, Chandler, AZ 85286 | 2020-03-20 |
| 1659787554 | Banner Health | General Acute Care Hospital | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2014-07-11 |
| 1942613435 | Banner Health | Clinic/Center | 1676 E Mcmurray Blvd Ste 1, Casa Grande, AZ 85122-4798 | 2014-06-03 |
| 1205267549 | Banner Health | Clinic/Center | 1345 A Paul Bunyan Rd, Susanville, CA 96130-3159 | 2013-12-12 |
| 1538402995 | Banner Health | Military Hospital | 2017 E Ruby Ln, Phoenix, AZ 85024-8617 | 2013-04-03 |
| 1407409964 | Banner Health | Hospice Care, Community Based | 2726 W 11th Street Rd, Greeley, CO 80634-5408 | 2019-07-23 |
| 1124532924 | Banner Health | Ambulance | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2017-12-01 |
| 1063923340 | Banner Health | General Acute Care Hospital | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2017-10-13 |
| 1912447855 | Banner Health | General Acute Care Hospital | 4259 S Squires Ln, Gilbert, AZ 85297-1206 | 2017-02-25 |
| 1851842892 | Banner Health | General Acute Care Hospital | 1801 16th St, Greeley, CO 80631-5154 | 2016-10-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | BANNER HEALTH | 2901 N Central Ave Suite 160, Phoenix, AZ 85012 |
| System for Award Management (SAM) Entities | BANNER HEALTH | 9201 W Thomas Rd, Phoenix, AZ 85037-3332 |
| Iowa Business Entities | BANNER HEALTH | 2901 N Central Ave Suite 160, Phoenix, AZ 85012 |
| Washington State Corporations | BANNER HEALTH | 2901 N Central Ave #160, Phoenix, AZ 85012 |
| New York State Corporations | BANNER HEALTH | 111 Eighth Avenue, 13th Floor, New York, Ny 10011 |
| Colorado Business Entities | Banner Health CCPHP, LLC | 530 Seventh Avenue Suite 2401, New York, NY 10018 |
| Colorado Business Entities | Banner Health Physicians-Colorado, LLC | 1801 16th Street, Greeley, CO 80631 |
| Street Address |
4400 N 32ND ST SUITE 140 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85018-3953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548252513 | Bruce A. Bethancourt Jr. | Internal Medicine | 4400 N 32nd St, Suite 140, Phoenix, AZ 85018-3953 | 2005-08-16 |
| 1881015741 | Biltmore Ear Nose and Throat, PC | Audiologist | 4400 N 32nd St, Ste. 220, Phoenix, AZ 85018-3953 | 2013-12-19 |
| 1447599212 | Ralph Woods Price | Dentist | 4400 N 32nd St, Suite 100, Phoenix, AZ 85018-3953 | 2013-02-13 |
| 1326390964 | Erin Lee Dame | Physician Assistant | 4400 N 32nd St, 110, Phoenix, AZ 85018-3953 | 2012-10-05 |
| 1164779310 | Laura Hellenthal | Nurse Practitioner | 4400 N 32nd St, Suite 140, Phoenix, AZ 85018-3953 | 2012-08-07 |
| 1932466331 | Mark R Engelman | Emergency Medicine | 4400 N 32nd St, Ste #150, Phoenix, AZ 85018-3953 | 2012-04-23 |
| 1053684498 | Sunny View Medical Center, Pllc | Chiropractor | 4400 N 32nd St, Suite 110, Phoenix, AZ 85018-3953 | 2012-02-15 |
| 1376870097 | Patricia Sullivan | Physician Assistant | 4400 N 32nd St, Ste 220, Phoenix, AZ 85018-3953 | 2009-11-17 |
| 1669622502 | Emily Knochel | Physician Assistant | 4400 N 32nd St, Suite 110, Phoenix, AZ 85018-3953 | 2008-09-29 |
| 1568612521 | Elaine Slepak | Audiologist-Hearing Aid Fitter | 4400 N 32nd St, Suite #220, Phoenix, AZ 85018-3953 | 2008-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467098483 | Skyfalls LLC | Plastic Surgery | 3723 E Sells Drive, Phoenix, AZ 85018 | 2019-11-25 |
| 1568944148 | Avicenna Integrative Medicine Plc | Internal Medicine | 4429 N 44th St, Phoenix, AZ 85018 | 2018-08-30 |
| 1124547682 | Consulting Options, LLC | Orthopaedic Surgery | 5110 North 44th Street, Suite L200, Phoenix, AZ 85018 | 2017-09-15 |
| 1902322472 | Saskia Soliz | Behavioral Analyst | 2940 N 40th Street, Unit 19, Phoenix, AZ 85018 | 2017-08-16 |
| 1700233418 | Harriet Frost | Marriage & Family Therapist | 4500 N. 32nd Street, Suite 100-d, Phoenix, AZ 85018 | 2016-05-23 |
| 1356733547 | Margaret Murphy Conley | Acupuncturist | 3040 N 44th St Ste 3, Phoenix, AZ 85018 | 2015-02-24 |
| 1457766792 | Anne Marie Hatch | Psychiatry & Neurology | 5090 N 40th St Ste 250a, Phoenix, AZ 85018 | 2014-06-25 |
| 1972848315 | Crystal M Ostermeyer | Physician Assistant | 4350 East Camelback Rd, Suite G-100, Phoenix, AZ 85018 | 2012-12-11 |
| 1699029652 | Monte Vista School | Local Education Agency (LEA) | 3501 E. Osborn Road, Phoenix, AZ 85018 | 2012-10-30 |
| 1962754028 | Jill R. Zweig D.o., PC | Psychiatry & Neurology | 5110 N 40th Street, Suite 104, Phoenix, AZ 85018 | 2012-10-12 |
| Find all providers in zip 85018 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609038439 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 6036 N. 19th Ave, Suite 312, Phoenix, AZ 85015 | 2008-07-02 |
| 1306862255 | Rm Alliance Family Health Ctr Inc | Non-Pharmacy Dispensing Site | 13821 N 35th Dr Ste 1, Phoenix, AZ 85053-5541 | 2006-07-14 |
| 1891246773 | John C Lincoln, LLC | Non-Pharmacy Dispensing Site | 19636 N 27th Ave, Suite 308, Phoenix, AZ 85027-4013 | 2016-10-17 |
| 1720449689 | Arizona Urology Specialists, Pllc | Non-Pharmacy Dispensing Site | 1313 E Osborn Rd Ste 150, Phoenix, AZ 85014-5688 | 2016-03-18 |
| 1114333432 | The Pain Center of Arizona, PC | Non-Pharmacy Dispensing Site | 9250 W Thomas Rd, Suite 200, Phoenix, AZ 85037-3382 | 2014-07-08 |
| 1093128316 | The Pain Center of Arizona, PC | Non-Pharmacy Dispensing Site | 19636 N 27th Ave, Suite 106, Phoenix, AZ 85027-4013 | 2014-06-04 |
| 1033522370 | The Pain Center of Arizona, PC | Non-Pharmacy Dispensing Site | 19636 N 27th Ave, Suite 202, Phoenix, AZ 85027-4013 | 2014-06-04 |
| 1871906222 | The Pain Center of Arizona, PC | Non-Pharmacy Dispensing Site | 3811 E Bell Rd, Suite 100, Phoenix, AZ 85032-2138 | 2014-06-03 |
| 1316358013 | Banner Health | Non-Pharmacy Dispensing Site | 1300 N 12th St, Suite 605, Phoenix, AZ 85006-2848 | 2014-05-15 |
| 1649690603 | Geriatric Specialties of Arizona PC | Non-Pharmacy Dispensing Site | 6838 N 23rd Ave, Phoenix, AZ 85015-1056 | 2014-04-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.