BANNER EMPLOYER SERVICES CLINIC (NPI# 1902439045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902439045 |
| Entity Type | Organization |
| Organization Name | BANNER EMPLOYER SERVICES CLINIC |
| Practice Address |
1 N Central Ave Ste 105 Phoenix AZ 85004-4416 |
| Mailing Address |
2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 |
| Practice Telephone | 6022557650 |
| Practice Fax Number | 6022557653 |
| Mailing Telephone | 6027474000 |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2020-02-18 |
| 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 | 261QC1800X |
Clinic/Center Specialization: Corporate Health |
Ambulatory Health Care Facilities |
| Street Address |
1 N CENTRAL AVE STE 105 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85004-4416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245886795 | Banner Urgent Care Services, LLC | Clinic/Center | 1 N Central Ave Ste 105, Phoenix, AZ 85004-4416 | 2019-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1508325929 | Ican America | Clinic/Center | Cityscape Tower 1 E Washington St., Suite 440, Phoenix, AZ 85004 | 2019-03-15 |
| 1770064107 | Edward Jude Stein | Pharmacist | Two Renaissance Square, 40 N Central Ave, Suite 780, Ihs Clinical Support Center, Phoenix, AZ 85004 | 2018-08-23 |
| 1740775303 | Alexander L. Shaw | Dentist | 201 N Central Ave. #1490, Phoenix, AZ 85004 | 2018-06-26 |
| 1497267868 | Michael Dimoff | Registered Nurse | 1850 N. Central Ave, Ste 1600, Phoenix, AZ 85004 | 2017-10-25 |
| 1093231433 | Ezequiel Bautista | Music Therapist | 2702 N 3rd Street, Suite 1000, Phoenix, AZ 85004 | 2017-08-17 |
| 1841742442 | Stacy Maahs | Nurse Practitioner | 500 N 3rd St Ste 155, Phoenix, AZ 85004 | 2016-10-29 |
| 1538537246 | Jessica Lindsay Karlson | Pharmacist | 2302 N Central Ave Ste 7, Phoenix, AZ 85004 | 2015-09-11 |
| 1689059883 | Yvette's Hope Foundation | Home Health | 40 N. Central Ave. Ste. 1400, Phoenix, AZ 85004 | 2015-07-29 |
| 1881082790 | Patricia Russell | Specialist/Technologist | 60 E. Vernon Ave, Arcadia Therapy Services, Phoenix, AZ 85004 | 2014-12-30 |
| Find all providers in zip 85004 | ||||
| Taxonomy Code | 261QC1800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Corporate Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962026831 | Omega Strategic Consulting | Clinic/Center | 23619 N 169th Ave, Surprise, AZ 85387-2060 | 2020-06-05 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1942635362 | Passport Health | Clinic/Center | 6710 E Camelback Rd Ste 200, Scottsdale, AZ 85251-2031 | 2013-09-04 |
| 1447402870 | Scottsdale Healthcare | Clinic/Center | 16101 N 82nd St Ste A-8, Scottsdale, AZ 85260-1864 | 2008-10-16 |
| 1447381587 | Physico Health Asssessments | Clinic/Center | 5732 W Shannon St, Chandler, AZ 85226-1859 | 2007-03-08 |
Please comment or provide details below to improve the information on BANNER EMPLOYER SERVICES CLINIC.
| 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.