GOOD SAMARITAN MEDICINE RESIDENCY 12TH ST
NPI 1316358013
Non-Pharmacy Dispensing Site in Phoenix, AZ

Active since May 15, 2014
1300 N 12TH ST, SUITE 605, PHOENIX, AZ 85006(602) 839-2668 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Good Samaritan Medicine Residency 12th St NPPES

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

GOOD SAMARITAN MEDICINE RESIDENCY 12TH ST (NPI 1316358013) is a healthcare organization registered as a non-pharmacy dispensing site in Phoenix, Arizona and active in the NPI registry since May 2014. The organization lists Dennis Laraway, Cfo, as its authorized official.

NPPES Registry Identity

NPI1316358013
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameBANNER HEALTH
Location Address1300 N 12TH ST, SUITE 605Phoenix, AZ 85006-2848
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialDennis LarawayCfo · (602) 747-4000
Enumeration DateMay 15, 2014
Last NPPES UpdateJanuary 31, 2022
NPPES CertifiedJanuary 31, 2022
NPI 1316358013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License Licensed in AZ · 45424
Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

1300 N 12TH ST, Phoenix, AZ 85006

Other Names 1

Doing Business AsGood Samaritan Medicine Residency 12th St

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
1300 N 12TH ST, STE 301
PHOENIX, AZ 85006
Specialist
1300 N 12TH ST, SUITE 619
PHOENIX, AZ 85006
Internal Medicine (Hematology & Oncology)
1300 N 12TH ST, SUITE 612
PHOENIX, AZ 85006
Internal Medicine
1300 N 12TH ST, SUITE #516
PHOENIX, AZ 85006
Nurse Practitioner
1300 N 12TH ST, SUITE 404
PHOENIX, AZ 85006
Obstetrics & Gynecology
1300 N 12TH ST, SUITE 501
PHOENIX, AZ 85006
Physician Assistant (Medical)
1300 N 12TH ST, STE 500
PHOENIX, AZ 85006
Family Medicine
1300 N 12TH ST, SUITE 605
PHOENIX, AZ 85006

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 Health's NPI number?

The NPI number for Banner Health is 1316358013. It was assigned to this organization in the NPPES registry on May 15, 2014. The provider is doing business as Good Samaritan Medicine Residency 12th St.

Where is Banner Health located?

Banner Health is located at 1300 N 12th St Suite 605, Phoenix, AZ 85006. The listed phone number is (602) 839-2668.

What is Banner Health's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Banner Health was last updated on January 31, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.