BANNER URGENT CARE SERVICES, LLC
Complete NPI Record 1609229764
Clinic/Center - Urgent Care in Scottsdale, AZ
Active since July 13, 2016CLIA Certified · 19 labs
Complete NPI Dataset
This page contains the complete raw NPPES record for Banner Urgent Care Services, Llc (NPI 1609229764), a clinic/center organization in Scottsdale, AZ. All 28 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1609229764 Field 1/28
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/28
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/28
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: BANNER URGENT CARE SERVICES, LLC Field 4/28
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider First Line Business Mailing Address: 2901 N CENTRAL AVE STE 160 Field 5/28
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: PHOENIX Field 6/28
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: AZ Field 7/28
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 850122702 Field 8/28
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 9/28
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider First Line Business Practice Location Address: 10330 N SCOTTSDALE RD # 25 Field 10/28
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: SCOTTSDALE Field 11/28
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: AZ Field 12/28
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 852531427 Field 13/28
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 14/28
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 4808257496 Field 15/28
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 4808784153 Field 16/28
- The fax number associated with the location address of the provider being identified.
- Authorized Official Last Name: PENROSE Field 19/28
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: PATRICK Field 20/28
- The first name of the authorized official.
- Authorized Official Title or Position: VP Field 21/28
- The title or position of the authorized official.
- Authorized Official Telephone Number: 6027474000 Field 22/28
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 261QU0200X Field 23/28
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 24/28
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: Y Field 25/28
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Parent Organization LBN: BANNER HEALTH Field 26/28
- The Legal Business Name (LBN) of the parent organization, if the provider is a subpart of a larger entity. This field identifies the official registered name of the parent company or organization under which the provider operates.
- Parent Organization TIN: Not available Field 27/28
- The Taxpayer Identification Number (TIN) of the parent organization, provided when the provider is a subpart of a larger entity. This field identifies the federal tax ID used by the parent organization for official and billing purposes.
Secondary Practice Locations 33
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
2950 S Alma School Rd Ste 1
Location 1/33Chandler, AZ 85286-8120 · Phone (480) 827-5690
3126 S Higley Rd Ste 109
Location 2/33Gilbert, AZ 85295-2030 · Phone (480) 827-5780
3141 S McClintock Dr Ste 1
Location 3/33Tempe, AZ 85282-5682 · Phone (480) 827-5650
15521 W Bell Rd
Location 4/33Surprise, AZ 85374-3437 · Phone (623) 465-6390
16430 W Yuma Rd
Location 5/33Goodyear, AZ 85338-3102 · Phone (623) 465-6405
1660 N Higley Rd Ste 104
Location 6/33Gilbert, AZ 85234-1615 · Phone (480) 827-5600
1955 W Guadalupe Rd Ste 101&102
Location 7/33Mesa, AZ 85202-7487 · Phone (480) 827-5620
1908 E McKellips Rd
Location 8/33Mesa, AZ 85203-2866 · Phone (480) 827-5610
1940 W Glendale Ave
Location 9/33Phoenix, AZ 85021-7876 · Phone (602) 255-7690
3141 E Indian School Rd Ste 104
Location 10/33Phoenix, AZ 85016-6807 · Phone (602) 255-7700
1215 S Higley Rd
Location 11/33Mesa, AZ 85206-3486 · Phone (480) 827-5740
15223 N 87th St Ste 110
Location 12/33Scottsdale, AZ 85260-2640 · Phone (480) 682-4100
3247 E Bell Rd
Location 13/33Phoenix, AZ 85032-2707 · Phone (602) 255-7655
21980 N 83rd Ave
Location 14/33Peoria, AZ 85383-1850 · Phone (623) 465-6375
3160 E Queen Creek Rd
Location 15/33Gilbert, AZ 85297-8403 · Phone (480) 827-5790
13901 W Meeker Blvd
Location 16/33Sun City West, AZ 85375-4475 · Phone (623) 465-6435
931 E Elliot Rd Ste 115
Location 17/33Tempe, AZ 85284-1583 · Phone (480) 827-5640
3141 E Indian School Rd Ste 102
Location 18/33Phoenix, AZ 85016-6807 · Phone (602) 255-7700
3141 E Indian School Rd Ste 103
Location 19/33Phoenix, AZ 85016-6807 · Phone (602) 255-7700
11685 W Van Buren St
Location 20/33Avondale, AZ 85323-6904 · Phone (623) 465-6420
1 N Central Ave Ste 105
Location 21/33Phoenix, AZ 85004-4416 · Phone (602) 255-7650
1121 S Gilbert Rd Ste 101
Location 22/33Mesa, AZ 85204-5235 · Phone (480) 827-5720
1157 S Crismon Rd Ste 101
Location 23/33Mesa, AZ 85208-2661 · Phone (480) 827-5730
4200 E Camelback Rd Ste 106
Location 24/33Phoenix, AZ 85018-2718 · Phone (602) 255-7590
4206 E Chandler Blvd Ste 100
Location 25/33Phoenix, AZ 85048-8873 · Phone (480) 827-5590
4232 W Bell Rd
Location 26/33Glendale, AZ 85308-4027 · Phone (623) 465-6360
4760 E Thunderbird Rd Ste 1
Location 27/33Phoenix, AZ 85032-5589 · Phone (480) 827-5590
5018 N 7th St
Location 28/33Phoenix, AZ 85014-3101 · Phone (602) 255-7680
641 W Warner Rd
Location 29/33Gilbert, AZ 85233-7266 · Phone (480) 827-5680
6501 E Greenway Pkwy Ste 104
Location 30/33Scottsdale, AZ 85254-2066 · Phone (602) 255-7640
7611 W Cactus Rd
Location 31/33Peoria, AZ 85381-5203 · Phone (623) 465-6315
7952 N 43rd Ave
Location 32/33Glendale, AZ 85301-1662 · Phone (623) 465-6330
9111 N 7th St
Location 33/33Phoenix, AZ 85020-2515 · Phone (602) 255-7670
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