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NPI Code Detail

MEDICARE: BANNER HEALTH

MEDICARE: BANNER HEALTH
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 : 1659787554
Entity Type Code : Organization
Provider Name (Legal Business Name) : BANNER HEALTH
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 : 4700 LADY MOON DR
Second Line :
City : FORT COLLINS
State : CO
Zip : 80528-4426
Country : US
Telephone Number : 970-821-4000
Fax Number :
Authorized Official
Title or Position : CEO
Name : ALAN QUALLS
Credential :
Telephone Number : 970-821-4000
Provider Enumeration Date : 07/11/2014
Last Update Date : 08/15/2024

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Directions to “BANNER HEALTH ” Practice Location

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