BANNER URGENT CARE ARIZONA LLC (NPI# 1750665980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750665980 |
| Entity Type | Organization |
| Organization Name | BANNER URGENT CARE ARIZONA LLC |
| Practice Address |
15468 N Civic Center Dr Surprise AZ 85374-7469 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 6235842917 |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2012-05-14 |
| Authorized Official Name | DENNIS E DAHLEN (SR VP FINANCE) |
| Authorized Official Telephone | 6027474000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BANNER MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 653587 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316567720 | Banner Urgent Care Arizona LLC | Clinic/Center | 680 E Deuce of Clubs Ste B, Show Low, AZ 85901-4829 | 2020-04-26 |
| 1194369074 | Banner Urgent Care Arizona LLC | Clinic/Center | 101 E State Highway 260 Ste G, Payson, AZ 85541-4921 | 2019-11-04 |
| 1710508817 | Banner Urgent Care Arizona LLC | Clinic/Center | 3457 W White Mountain Blvd, Lakeside, AZ 85929-6007 | 2020-04-29 |
| 1487275681 | Banner Urgent Care Arizona LLC | Clinic/Center | 101 E State Highway 260 Ste G, Payson, AZ 85541-4921 | 2020-04-29 |
| 1831733716 | Banner Urgent Care Arizona LLC | Clinic/Center | 3457 W White Mountain Blvd, Lakeside, AZ 85929-6007 | 2019-11-04 |
| 1316349855 | Banner Urgent Care Arizona LLC | Clinic/Center | 1676 E Mcmurray Blvd Ste 1, Casa Grande, AZ 85122-4798 | 2014-09-16 |
| Street Address |
15468 N CIVIC CENTER DR |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85374-7469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790766533 | Mikhail A Bargan | Family Medicine | 15468 N Civic Center Dr, Surprise, AZ 85374 | 2005-11-09 |
| 1205006152 | Sun Health Urgent Care Centers, LLC | Clinic/Center | 15468 N Civic Center Dr, Surprise, AZ 85374-7469 | 2008-03-06 |
| 1851437503 | Stefan Iacob | Physician Assistant | 15468 N Civic Center Dr, Surprise, AZ 85374-7469 | 2007-01-29 |
| 1215988720 | Andreas Stiller | Nurse Practitioner | 15468 N Civic Center Dr, Surprise, AZ 85374-7469 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225648801 | Jennilyn Joy Puhawan Cave | Emergency Medicine | 14440 W Tierra Buena Ln, Surprise, AZ 85374 | 2020-08-07 |
| 1912538497 | Dental Depot of Surprise, Pllc | Clinic/Center | 13828 W. Greenway Rd., Surprise, AZ 85374 | 2020-02-03 |
| 1447898622 | Vhs of Arrowhead, Inc. | General Acute Care Hospital | 16815 W. Bell Rd, Surprise, AZ 85374 | 2019-12-18 |
| 1073155834 | Regency Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W Mountain View Blvd, Surprise, AZ 85374 | 2019-10-14 |
| 1164064929 | Advanced Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W. Mountain View Blvd., Surprise, AZ 85374 | 2019-10-14 |
| 1275005308 | Filsan Ali | Nurse Practitioner | 14780 W Mountain View Blvd #109, Surprise, Az 85374, Surprise, AZ 85374 | 2018-12-31 |
| 1427528686 | Anna L Bell | Nurse Practitioner | 14811 W Bell Rd Ste 100, Surprise, AZ 85374 | 2018-11-30 |
| 1649755893 | Surprise Behavioral Hospital Lp | Psychiatric Hospital | 16561 North Parkview Place, Surprise, AZ 85374 | 2018-10-03 |
| 1336621259 | Chaparral Winds LLC | Assisted Living Facility | 16623 N West Point Parkway, Surprise, AZ 85374 | 2018-09-06 |
| 1104310648 | Austin Daniel Lau | Dentist | 17018 W Bell Rd, Surprise, AZ 85374 | 2018-06-19 |
| Find all providers in zip 85374 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265049894 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 12775 W Bell Rd Ste 100, Surprise, AZ 85378-9770 | 2020-09-28 |
| 1447644521 | Urgent Care Centers of Arizona, LLC | Clinic/Center | 16840 W. Waddell Road, Suite 110, Surprise, AZ 85388 | 2015-03-26 |
| 1649406273 | Banner Urgent Care - Surprise | Clinic/Center | 15468 North Civic Center Drive, Surprise, AZ 85374 | 2009-06-10 |
| 1881719342 | Auc Investors Group LLC. | Clinic/Center | 14800 W Mountain View Blvd Ste 190, Surprise, AZ 85374-2700 | 2007-03-20 |
| 1588704571 | West Valley Urgent Care | Clinic/Center | 12133 W Bell Rd, 101, Surprise, AZ 85374-9409 | 2007-02-07 |
| 1487697520 | Sun Health Corporation | Clinic/Center | 15468 N. Civic Center Drive, Surprise, AZ 85374 | 2006-06-14 |
| 1639641269 | Banner Urgent Care Services, LLC | Clinic/Center | 15521 W Bell Rd, Surprise, AZ 85374-3437 | 2018-12-20 |
| 1740526144 | Tricity Express Care Pllc | Clinic/Center | 12775 W Bell Rd, Suite 100, Surprise, AZ 85378-9770 | 2012-12-13 |
| 1700105244 | Nextcare Arizona LLC | Clinic/Center | 15351 W Bell Rd, Ste. 100, Surprise, AZ 85374-4580 | 2010-05-24 |
| 1205006152 | Sun Health Urgent Care Centers, LLC | Clinic/Center | 15468 N Civic Center Dr, Surprise, AZ 85374-7469 | 2008-03-06 |
| Find all providers in SURPRISE | ||||
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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.