Healthcare Provider Details
I. General information
NPI: 1265357438
Provider Name (Legal Business Name): BANNER - UNIVERSITY MEDICAL CENTER PHOENIX
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4200 E CAMELBACK RD STE 107
PHOENIX AZ
85018-2718
US
IV. Provider business mailing address
2901 N CENTRAL AVE STE 160
PHOENIX AZ
85012-2702
US
V. Phone/Fax
- Phone: 602-229-2160
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DANIEL
POST
Title or Position: CEO
Credential:
Phone: 602-839-2000