BANNER HEALTH (NPI# 1598867996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598867996 |
| Entity Type | Organization |
| Organization Name | BANNER HEALTH |
| Other Organization Name | BANNER GOOD SAMARITAN MEDICAL CENTER |
| Practice Address |
1111 E Mcdowell Rd Phoenix AZ 85006-2612 |
| Practice Telephone | 6022394558 |
| Practice Fax Number | 6022396734 |
| Mailing Telephone | 6022394558 |
| Mailing Fax Number | 6022396734 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2016-04-12 |
| Authorized Official Name | BUTCH DAVID (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 6022394558 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
Y03147 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 1987996 | 01 |
| Other Name | Type Code |
|---|---|
| BANNER GOOD SAMARITAN MEDICAL CENTER | 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 |
| New York State Corporations | BANNER HEALTH CCPHP, LLC | 99 Washington Avenue Suite 1008, Albany, Ny 12260 |
| Colorado Business Entities | Banner Health Network | 2901 N Central Ave Ste 160, Phoenix, AZ 85012 |
| Colorado Business Entities | Banner Health Physicians-Colorado, LLC | 1801 16th Street, Greeley, CO 80631 |
| Virginia Business Entities | Banner HealthCare Solutions Inc. | 3671 Utica St., Denver, Colorado 80212 |
| Street Address |
1111 E MCDOWELL RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-2612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334785 | Todd Brian Taylor | Emergency Medicine | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2005-05-30 |
| 1912507609 | Kelsey Arndt | Dietitian, Registered | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2020-10-30 |
| 1518567403 | Emily Truex | Nurse Practitioner | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2020-10-29 |
| 1306445002 | Sina Lee Heller | Registered Nurse | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2020-10-22 |
| 1215549985 | Aishwarya Puri | Student in an Organized Health Care Education/Training Program | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2020-08-23 |
| 1437761038 | Lee Daniel Reeves-blurton | Registered Nurse | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2020-08-17 |
| 1295358414 | Shaida Omid | Student in an Organized Health Care Education/Training Program | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2020-05-21 |
| 1831712157 | Hija Mae Bautista | Nurse Practitioner | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2020-05-20 |
| 1164042206 | Arati Babaria Pandya | Student in an Organized Health Care Education/Training Program | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2020-04-18 |
| 1275153595 | Chirag Vinay Kapadia | Student in an Organized Health Care Education/Training Program | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2020-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1578752762 | State of Arizona | Pharmacy | 24601 N 29th Ave, Phoenix, AZ 85083-1165 | 2007-10-24 |
| 1710091780 | Los Ninos Hospital Inc | Pharmacy | 2303 E Thomas Rd, Phoenix, AZ 85016-7827 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568928521 | Winslow Indian Health Care Center, Inc | Pharmacy | 1.5 Mile N. Leupp Chapter House, Leupp, AZ 86047 | 2019-02-14 |
| 1659837615 | Winslow Indian Health Care Center, Inc | Pharmacy | 3 Mls S. of Dilkon Chapter Hse., Dilkon, AZ 86047 | 2019-02-14 |
| 1992084941 | Institutional Pharmacy Solutions | Pharmacy | 6350 S Maple Ave, Tempe, AZ 85283-2857 | 2011-08-09 |
| 1386832087 | Winslow Indian Health Care Center, Inc | Pharmacy | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2007-10-09 |
| 1306988209 | Page Hospital Pharmacy | Pharmacy | 501 N Navajo, Page, AZ 86040-1447 | 2007-02-14 |
| 1407904105 | Cottonwood De Tucson Inc | Pharmacy | 4110 W Sweetwater Dr, Tucson, AZ 85745-9348 | 2007-01-08 |
| 1306908355 | Banner -- University Medical Center Tucson Campus LLC | Pharmacy | 1501 N. Campbell Avenue, Tucson, AZ 85724 | 2006-12-15 |
| 1609802396 | Yuma Regional Med Ctr Phcy | Pharmacy | 2400 S Avenue A, Yuma, AZ 85364-7127 | 2006-06-24 |
| 1750322210 | Tucson Medical Center | Pharmacy | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2006-06-08 |
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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.