BANNER HEALTH PHYSICIANS WEST LLC – NPI #1689301103
Clinic/Center

BANNER HEALTH PHYSICIANS WEST LLC is an AHC clinic located in POWELL, WY. NPPES has assigned the NPI number 1689301103 to BANNER HEALTH PHYSICIANS WEST LLC on August 04, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

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 HEALTH PHYSICIANS WEST LLC below.

NPI Profile for
BANNER HEALTH PHYSICIANS WEST LLC

NPI Number
1689301103
Enumeration Date

(about 4 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 HEALTH PHYSICIANS WEST LLC
Primary location
777 AVENUE H
POWELL, WY 82435-2260
Phone: (307) 347-5810 Fax: (307) 347-5808
Mailing address
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone: Fax:
Organization Subpart
Yes - BANNER HEALTH PHYSICIANS WEST LLC is subpart of another organization.
Authorized Official
SHIVA BIRDI
CEO BMG
Phone: (602) 747-4000
Updated
Certification Date
Aug 04, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)

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.