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BANNER COPPER BASIN MEDICAL CLINIC
NPI 1265679260
Clinic/Center - Multi-Specialty in Queen Creek, AZ

Active since January 13, 2009
2474 E HUNT HWY, SUITE 10, QUEEN CREEK, AZ 85143(480) 543-6680 Get Directions Write a Review

NPPES record last updated: April 11, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Banner Copper Basin Medical Clinic NPPES

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

BANNER COPPER BASIN MEDICAL CLINIC (NPI 1265679260) is a healthcare organization registered as a multi-specialty in Queen Creek, Arizona and active in the NPI registry since January 2009. The organization lists Dennis E Dahlen, Sr Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1265679260
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBANNER COPPER BASIN MEDICAL CLINIC
Location Address2474 E HUNT HWY, SUITE 10Queen Creek, AZ 85143-5210
Mailing Address1441 N 12th StPhoenix, AZ 85006-2837
Phone(480) 543-6680
Organization SubpartYesParent: Banner Health
Authorized OfficialDennis E DahlenSr Vp Finance · (602) 747-4000
Enumeration DateJanuary 13, 2009
Last NPPES UpdateApril 11, 2011
✔ NPI 1265679260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
2474 E HUNT HWY, Queen Creek, AZ 85143
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Other Identifiers 1

Medicare PINZ128705

Other Providers at the Same Location NPPES 2

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

EMPACT - SUICIDE PREVENTION CENTER
Community/Behavioral Health
2474 E HUNT HWY, #100
SAN TAN VALLEY, AZ 85143
Pinal County (480) 784-1514
WENDY SONG DO
Family Medicine
2474 E HUNT HWY, SUITE 10
SAN TAN VALLEY, AZ 85143
Pinal County (480) 543-6680

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Banner Copper Basin Medical Clinic's NPI number?

The NPI number for Banner Copper Basin Medical Clinic is 1265679260. It was assigned to this organization in the NPPES registry on January 13, 2009.

Where is Banner Copper Basin Medical Clinic located?

Banner Copper Basin Medical Clinic is located at 2474 E Hunt Hwy Suite 10, Queen Creek, AZ 85143. The listed phone number is (480) 543-6680.

What is Banner Copper Basin Medical Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Banner Copper Basin Medical Clinic was last updated on April 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.