BANNER HEALTH PHYSICIANS WEST LLC
NPI 1154768042
Clinic/Center - Multi-Specialty in Hawthorne, NV

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

Active since May 31, 2013

200 SOUTH A STREET, HAWTHORNE, NV 89415(775) 423-3151(775) 428-2166 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Banner Health Physicians West Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BANNER HEALTH PHYSICIANS WEST LLC (NPI 1154768042) is a healthcare organization registered as a multi-specialty in Hawthorne, Nevada and active in the NPI registry since May 2013. The organization lists Dennis Laraway, Cfo, as its authorized official.

NPPES Registry Identity

NPI1154768042

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameBANNER HEALTH PHYSICIANS WEST LLC

Location Address200 SOUTH A STREETHawthorne, NV 89415

Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702

Phone(775) 423-3151

Fax(775) 428-2166

Organization SubpartYesParent: Banner Medical Group Colorado

Authorized OfficialDennis LarawayCfo · (602) 747-4000

Enumeration DateMay 31, 2013

Last NPPES UpdateJanuary 13, 2022

NPPES CertifiedJanuary 13, 2022

✔ NPI 1154768042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

200 SOUTH A STREET, Hawthorne, NV 89415

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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLES FRANK MANN IV AEMT

Emergency Medical Technician, Intermediate