BANNER DESERT SURGERY CENTER LP – NPI #1902841117
Clinic/Center

BANNER DESERT SURGERY CENTER LP is an AHC clinic located in MESA, AZ. NPPES has assigned the NPI number 1902841117 to BANNER DESERT SURGERY CENTER LP on June 19, 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 13 years ago on Apr 12, 2013. 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 DESERT SURGERY CENTER LP below.

NPI Profile for
BANNER DESERT SURGERY CENTER LP

NPI Number
1902841117
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 DESERT SURGERY CENTER LP
Primary location
1500 S DOBSON RD STE 101
MESA, AZ 85202-4722
Phone: (480) 512-3590 Fax:
Mailing address
1441 N 12TH ST
PHOENIX, AZ 85006-2837
Phone: Fax:
Organization Subpart
No
Authorized Official
DENNIS DAHLEN
SR VICE PRESIDENT FINANCE
Phone: (602) 747-4000
Updated
Identifiers

Identifiers for BANNER DESERT SURGERY CENTER LP

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
MEDICAIDAZ957706
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 3780

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.