BANNER URGENT CARE SERVICES, LLC
NPI 1942653019
Clinic/Center - Urgent Care in San Tan Valley, AZ

Active since July 13, 2016CLIA 03D2097346 · Waiver
35945 N GARY RD, SAN TAN VALLEY, AZ 85143(480) 222-0112(480) 222-0111 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 20, 2026, Jun 18, 2025, Jan 27, 2022 and 2 more (5 updates tracked since 2016).

About Banner Urgent Care Services, Llc NPPES

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

BANNER URGENT CARE SERVICES, LLC (NPI 1942653019) is a healthcare organization registered as an urgent care in San Tan Valley, Arizona and active in the NPI registry since July 2016. The organization holds a CLIA Waiver certificate valid through June 11, 2027, maintains a secondary practice location in San Tan Valley, and lists Patrick Penrose, Vp, as its authorized official.

NPPES Registry Identity

NPI1942653019
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameBANNER URGENT CARE SERVICES, LLC
Location Address35945 N GARY RDSan Tan Valley, AZ 85143-5748
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Fax(480) 222-0111
Organization SubpartYesParent: Banner Health
Authorized OfficialPatrick PenroseVp · (602) 747-4000
Enumeration DateJuly 13, 2016
Last NPPES UpdateApril 20, 20265 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
NPI 1942653019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
35945 N GARY RD, San Tan Valley, AZ 85143

Secondary Practice Location 1

Location 140773 N Ironwood DrSan Tan Valley, AZ 85140-7002 · Phone (480) 827-5760

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2097346

Banner Urgent Care Services LLC · San Tan Valley, AZ
Active · expires Jun 11, 2027
CLIA Number03D2097346
Laboratory TypeUrgent Care
Certificate Effective DateJune 12, 2025
Certificate Expiration DateJune 11, 2027
Laboratory DirectorRobert Johns
Laboratory Phone(480) 827-5750
Laboratory LocationBanner Urgent Care Services LLC35945 N Gary Rd, San Tan Valley, AZ 85143
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

Nurse Practitioner (Family)
35945 N GARY RD
SAN TAN VALLEY, AZ 85143
Nurse Practitioner (Family)
35945 N GARY RD
SAN TAN VALLEY, AZ 85143

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942653019, enumerated as an "organization" on July 13, 2016.

The provider is located at 35945 N GARY RD SAN TAN VALLEY, AZ 85143 and the phone number is (480) 222-0112.

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.

The provider might be accepting Accepts: Oscar Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.