BANNER OCCUPATIONAL HEALTH ARIZONA LLC


Address: 1300 N 12th St Ste 250, Phoenix, AZ 85006-2848
Phone: 6028394456

BANNER OCCUPATIONAL HEALTH ARIZONA LLC (NPI# 1699318105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699318105
Entity Type Organization
Organization Name BANNER OCCUPATIONAL HEALTH ARIZONA LLC
Practice Address 1300 N 12th St Ste 250
Phoenix
AZ 85006-2848
Mailing Address 2901 N Central Ave Ste 160
Phoenix
AZ 85012-2702
Practice Telephone 6028394456
Enumeration Date 2019-10-28
Last Update Date 2019-10-28
Authorized Official Name DENNIS LARAWAY (CFO)
Authorized Official Telephone 6027474000
Is Organization Subpart Y
Parent Organization Name BANNER HEALTH

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QX0100X Clinic/Center
Specialization: Occupational Medicine
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1669015467 Banner Occupational Health Arizona LLC Clinic/Center 1920 N Higley Rd Ste 108, Gilbert, AZ 85234-1626 2019-10-24
1649813445 Banner Occupational Health Arizona LLC Clinic/Center 5601 W Eugie Ave Ste 213, Glendale, AZ 85304-1258 2019-10-24
1750924551 Banner Occupational Health Arizona LLC Clinic/Center 1676 E Mcmurray Blvd Ste 2, Casa Grande, AZ 85122-4798 2019-10-24
1144572611 Banner Occupational Health Arizona LLC Clinic/Center 1300 N 12th St Ste 520, Phoenix, AZ 85006-2849 2012-10-09
1477196277 Banner Occupational Health Arizona LLC Clinic/Center 2225 W Southern Ave, Mesa, AZ 85202-4716 2019-10-24
1194368993 Banner Occupational Health Arizona LLC Clinic/Center 1979 W Ray Rd, Chandler, AZ 85224-4007 2019-10-24
1811530611 Banner Occupational Health Arizona LLC Clinic/Center 9305 W Thomas Rd Ste 235, Phoenix, AZ 85037-3363 2019-10-24
1679116479 Banner Occupational Health Arizona LLC Clinic/Center 1101 N Wilmot Rd Ste 101, Tucson, AZ 85712-5144 2019-10-24

Office Location

Street Address 1300 N 12TH ST STE 250
City PHOENIX
State AZ
Zip Code 85006-2848

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QX0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Occupational Medicine

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144572611 Banner Occupational Health Arizona LLC Clinic/Center 1300 N 12th St Ste 520, Phoenix, AZ 85006-2849 2012-10-09
1811530611 Banner Occupational Health Arizona LLC Clinic/Center 9305 W Thomas Rd Ste 235, Phoenix, AZ 85037-3363 2019-10-24
1356779862 Occupational Health Centers of The Southwest, Pa Clinic/Center 901 E Jefferson St, Phoenix, AZ 85034-2219 2013-10-18
1518221530 Spooner Physical Therapy & Hand Rehab PC Clinic/Center 15830 N 35th Ave, Ste 2, Phoenix, AZ 85053-7640 2012-06-25
1255693289 Spooner Physical Therapy & Hand Rehab PC Clinic/Center 16515 S 40th St, Ste 119 B, Phoenix, AZ 85048-0558 2012-06-14
1639384415 Mbi Industrial Medicine East Clinic/Center 4100 E Broadway Rd, Phoenix, AZ 85040-8843 2007-05-14
1659586733 Mbi Industrial Medicine West Clinic/Center 3501 W Osborn Rd, Phoenix, AZ 85019-4037 2007-05-11
1316082811 Banner Occupational Health Clinic Clinic/Center 1441 N 12th St, Phoenix, AZ 85006-2837 2007-02-21
1225050164 Marie F Hatam Clinic/Center 3120 W Carefree Hwy, Ste. 700-1, Phoenix, AZ 85086 2006-07-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669015467 Banner Occupational Health Arizona LLC Clinic/Center 1920 N Higley Rd Ste 108, Gilbert, AZ 85234-1626 2019-10-24
1649813445 Banner Occupational Health Arizona LLC Clinic/Center 5601 W Eugie Ave Ste 213, Glendale, AZ 85304-1258 2019-10-24
1750924551 Banner Occupational Health Arizona LLC Clinic/Center 1676 E Mcmurray Blvd Ste 2, Casa Grande, AZ 85122-4798 2019-10-24
1407412331 Banner Occupational Health - Onsite, LLC Clinic/Center 1621 W Rio Salado Pkwy Bldg D, Tempe, AZ 85281-2608 2019-05-16
1578126769 Watch Me Grow, LLC Clinic/Center 6602 S Constellation Way, Gilbert, AZ 85298-5700 2019-04-15
1982145892 Michelle Toyos Clinic/Center 8953 E Kirkpatrick Cir, Tucson, AZ 85710-4447 2017-03-10
1578974960 Body 4 Life Clinic/Center 8300 N Hayden Rd Ste A-203, Scottsdale, AZ 85258-2481 2014-05-19
1205173150 Lurea Inman Clinic/Center 18610 E Raven Dr, Queen Creek, AZ 85142-5542 2013-01-12
1134473416 Ccfx,llc Clinic/Center 2622 E Javelina Cir, Mesa, AZ 85204-7127 2012-11-07
1154694727 Innovative Rehab Solutions, LLC Clinic/Center 11620 E Sahuaro Dr Apt 2010, Scottsdale, AZ 85259-3169 2012-02-13
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Competitor

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City PHOENIX
Zip Code 85006

Improve Information

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Dataset Information

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.

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