BANNER THUNDERBIRD SURGICENTER – NPI #1447287818
Clinic/Center

BANNER THUNDERBIRD SURGICENTER is an AHC clinic located in GLENDALE, AZ. NPPES has assigned the NPI number 1447287818 to BANNER THUNDERBIRD SURGICENTER on June 28, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 18 years ago on Jan 09, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BANNER THUNDERBIRD SURGICENTER below.

NPI Profile for
BANNER THUNDERBIRD SURGICENTER

NPI Number
1447287818
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BANNER THUNDERBIRD SURGICENTER
Primary location
5555 - B WEST THUNDERBIRD ROAD
GLENDALE, AZ 85306
Phone: (602) 865-5475 Fax:
Mailing address
1441 N 12TH ST
PHOENIX, AZ 85006-2837
Phone: Fax:
Organization Subpart
Yes - BANNER THUNDERBIRD SURGICENTER is subpart of another organization.
Authorized Official
DENNIS DAHLEN
SR VICE PRESIDENT FINANCE
Phone: (602) 747-4000
Updated
Identifiers

Identifiers for BANNER THUNDERBIRD SURGICENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAZ969719
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)
AZ OSC 3775

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.