MEDICARE: BANNER GOLDFIELD MEDICAL CENTER

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
1	282N00000X	General Acute Care Hospital

General Provider Information

NPI Number	:	1932543428
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BANNER GOLDFIELD MEDICAL CENTER

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	:	2050 W SOUTHERN AVE
Second Line	:
City	:	APACHE JUNCTION
State	:	AZ
Zip	:	85120-7305
Country	:	US
Telephone Number	:	480-733-3300
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DARREN MCCOLLEM
Credential	:
Telephone Number	:	602-747-4000

Provider Enumeration Date	:	04/26/2013
Last Update Date	:	04/20/2026

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