Organization · Type 2 NPI
Banner Health
Rural Health Clinic/Center · Lakeside, AZ
NPI number
1275320327
Active
Practice location
3457 W White Mountain Blvd
Lakeside, AZ 85929-6007
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
Rural Health Clinic/Center: Definition to come...
3 other providers at this address
About NPI 1275320327
Banner Health's National Provider Identifier is 1275320327, issued on Apr 22, 2025. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Lakeside, AZ. The record was last updated on Apr 22, 2025.