BANNER OCCUPATIONAL HEALTH ARIZONA LLC (NPI# 1750924551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750924551 |
Entity Type | Organization |
Organization Name | BANNER OCCUPATIONAL HEALTH ARIZONA LLC |
Practice Address |
1676 E Mcmurray Blvd Ste 2 Casa Grande AZ 85122-4798 |
Mailing Address |
2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 |
Practice Telephone | 5203816783 |
Enumeration Date | 2019-10-24 |
Last Update Date | 2019-10-24 |
Authorized Official Name | DENNIS LARAWAY (CFO) |
Authorized Official Telephone | 6027474000 |
Is Organization Subpart | Y |
Parent Organization Name | BANNER HEALTH |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699318105 | Banner Occupational Health Arizona LLC | Clinic/Center | 1300 N 12th St Ste 250, Phoenix, AZ 85006-2848 | 2019-10-28 |
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 |
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 |
Street Address |
1676 E MCMURRAY BLVD STE 2 |
City | CASA GRANDE |
State | AZ |
Zip Code | 85122-4798 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043857097 | Karen M Garcia | Registered Nurse | 2631 N Brown Avenue, Casa Grande, AZ 85122 | 2019-12-09 |
1063060291 | Martha Bollin | Registered Nurse | 2631 N. Brown Ave., Casa Grande, AZ 85122 | 2019-08-30 |
1841846920 | Banner Imaging Services LLC | Radiology | 1828 E. Florence Blvd Bldg B Ste 118 & 128, Suite 118 and 128, Casa Grande, AZ 85122 | 2019-08-14 |
1629532692 | Kirk Lee Mackley | Physical Therapist | Vibrant Care, 1355 E Florence Blvd #137, Casa Grande, AZ 85122 | 2019-01-24 |
1205307436 | Natalie T Trujillo | Physician Assistant | 301 E Cottonwood Ln Ste 1&2, Casa Grande, AZ 85122 | 2018-12-16 |
1710455860 | Community Intervention Associates, Inc | Clinic/Center | 1667 N. Trekell Rd, Suite 101 & 102, Casa Grande, AZ 85122 | 2018-11-07 |
1245728302 | Jenkins Chiropractic LLC | Chiropractor | 1891 N Trekell Rd Ste 2, Casa Grande, AZ 85122 | 2018-04-24 |
1497242408 | Kelly Winnett | Naturopath | 1415 N Trekell Rd Ste 102, Casa Grande, AZ 85122 | 2018-04-16 |
1851895783 | Michael Brubaker Counseling | Community/Behavioral Health | 1927 N. Trekell Rd, Ste D, Casa Grande, AZ 85122 | 2018-03-23 |
1770095317 | Walmart Stores Inc. | Pharmacy | 1741 E. Florence Blvd, Casa Grande, AZ 85122 | 2017-11-03 |
Find all providers in zip 85122 |
Taxonomy Code | 261QX0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Occupational Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285849364 | Mbi Occupational Healthcare Casa Grande | Clinic/Center | 177 W Cottonwood Ln, Casa Grande, AZ 85222-2552 | 2007-05-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699318105 | Banner Occupational Health Arizona LLC | Clinic/Center | 1300 N 12th St Ste 250, Phoenix, AZ 85006-2848 | 2019-10-28 |
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 |
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 |
1144572611 | Banner Occupational Health Arizona LLC | Clinic/Center | 1300 N 12th St Ste 520, Phoenix, AZ 85006-2849 | 2012-10-09 |
Find all providers with the same taxonomy |
City | CASA GRANDE |
Zip Code | 85122 |
Please comment or provide details below to improve the information on BANNER OCCUPATIONAL HEALTH ARIZONA LLC.
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.