BANNER MESA MEDICAL CENTER (NPI# 1891729828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891729828 |
| Entity Type | Organization |
| Organization Name | BANNER MESA MEDICAL CENTER |
| Practice Address |
1010 N Country Club Dr Mesa AZ 85201-3309 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 4808341211 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DENNIS E DAHLEN (SR VICE PRESIDENT FINANCE) |
| Authorized Official Telephone | 6027474000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | H-127 | AZ | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 020602 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386799195 | Banner Mesa Medical Center | Rehabilitation Unit | 1010 N Country Club Dr, Mesa, AZ 85201-3309 | 2007-01-24 |
| 1275688186 | Banner Mesa Medical Center | Psychiatric Unit | 1010 N Country Club Dr, Mesa, AZ 85201-3309 | 2007-01-24 |
| Street Address |
1010 N COUNTRY CLUB DR |
| City | MESA |
| State | AZ |
| Zip Code | 85201-3309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962453514 | Emergency & Acute Care Medical Company - Az | Emergency Medicine | 1010 N Country Club Dr, Mesa, AZ 85201-3309 | 2006-05-16 |
| 1164613006 | Yolaine Miller Sondergaard | Nurse Anesthetist, Certified Registered | 1010 N Country Club Dr, Mesa, AZ 85201-3309 | 2007-08-06 |
| 1386799195 | Banner Mesa Medical Center | Rehabilitation Unit | 1010 N Country Club Dr, Mesa, AZ 85201-3309 | 2007-01-24 |
| 1275688186 | Banner Mesa Medical Center | Psychiatric Unit | 1010 N Country Club Dr, Mesa, AZ 85201-3309 | 2007-01-24 |
| 1023022456 | David E. Boesch | Emergency Medicine | 1010 N Country Club Dr, Banner Mesa Medical Center, Mesa, AZ 85201-3309 | 2006-07-29 |
| 1225042666 | Alicia Falls | Physician Assistant | 1010 N Country Club Dr, Banner Mesa Medical Center, Mesa, AZ 85201-3309 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141980 | Arch Hospice, LLC. | Hospice Care, Community Based | 1209 N. Country Club Dr., Ste. 1, Mesa, AZ 85201 | 2020-07-08 |
| 1861025876 | Summit Bhc Mesa LLC | Clinic/Center | 846 North Center Street Suite 101, Mesa, AZ 85201 | 2020-02-18 |
| 1427600774 | Coleen Chatter | Counselor | 711 N. Evergreenrd. Apt#2088, Mesa, AZ 85201 | 2019-07-16 |
| 1013487800 | Akos Live | Family Medicine | 1902 W. Main Street, Mesa, AZ 85201 | 2018-12-05 |
| 1760990329 | Sage Counseling, Inc. | Community/Behavioral Health | 460 N. Mesa Drive, Suites 207 and 209, Mesa, AZ 85201 | 2018-01-17 |
| 1336590025 | Horizon Health and Wellness, Inc. | Assisted Living Facility | 453 West Sunset Circle, Mesa, AZ 85201 | 2016-06-24 |
| 1356711279 | Cheryl Agosto | Registered Nurse | 1025 N. Country Club Dr, Mesa, AZ 85201 | 2015-10-05 |
| 1861877961 | Richard Roble | Speech-Language Pathologist | 125 N. Country Club Dr., Mesa, AZ 85201 | 2015-07-30 |
| 1326440991 | Demetria Harris | Counselor | 455 N. Mesa Drive #11, Mesa, AZ 85201 | 2014-09-25 |
| 1588002489 | Zhen Liu | Acupuncturist | 210n. Center St, #102, Mesa, AZ 85201 | 2013-06-13 |
| Find all providers in zip 85201 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1689121188 | Agh Mesa LLC | General Acute Care Hospital | 9130 East Elliot Road, Mesa, AZ 85212 | 2016-09-01 |
| 1134552367 | Anelime Emergency Medical Services | General Acute Care Hospital | 9341 E Mckellips Rd, Mesa, AZ 85207-2632 | 2013-08-12 |
| 1669639639 | Apache Junction Hospital, LLC | General Acute Care Hospital | 515 N Mesa Drive, Mesa, AZ 85201-5914 | 2008-05-19 |
| 1396745832 | Arizona Spine and Joint Hospital LLC | General Acute Care Hospital | 4620 E. Baseline Road, Mesa, AZ 85206 | 2005-07-27 |
| 1023499126 | Allied Internal Medicine Pllc | General Acute Care Hospital | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2015-06-15 |
| 1306265145 | Maricopa County Special Health Care District | General Acute Care Hospital | 59 S Hibbert, Mesa, AZ 85210-1414 | 2014-04-09 |
| 1538588389 | Maricopa County Special Heallth Care District | General Acute Care Hospital | 4330 E University Dr, Suite B, Mesa, AZ 85205-7004 | 2014-04-09 |
| 1093149692 | Kevin Warren | General Acute Care Hospital | 1520 S Dobson Rd, Suite 203, Mesa, AZ 85202-4725 | 2013-08-30 |
| 1235212721 | Mountain Vista Medical Center Lp | General Acute Care Hospital | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2006-10-20 |
| Find all providers in MESA | ||||
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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.