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NPI Code Detail

MEDICARE: BANNER - UNIVERSITY MEDICAL CENTER SOUTH CAMPUS LLC

MEDICARE: BANNER - UNIVERSITY MEDICAL CENTER SOUTH CAMPUS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital

General Provider Information

NPI Number : 1558759498
Entity Type Code : Organization
Provider Name (Legal Business Name) : BANNER - UNIVERSITY MEDICAL CENTER SOUTH CAMPUS LLC
Provider Business Mailing Address
First Line : 2901 N CENTRAL AVE STE 160
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-2702
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2800 E AJO WAY
Second Line :
City : TUCSON
State : AZ
Zip : 85713-6204
Country : US
Telephone Number : 520-874-2000
Fax Number :
Authorized Official
Title or Position : CEO
Name : ALISON FLYNN GAFFNEY
Credential :
Telephone Number : 602-747-4000
Provider Enumeration Date : 12/30/2014
Last Update Date : 04/16/2026

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Directions to “BANNER - UNIVERSITY MEDICAL CENTER SOUTH CAMPUS LLC ” Practice Location

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