| Banner Behavioral Health Hospital Pro Fee | |
|
7575 E Earll Dr Scottsdale AZ 85251-6915 | |
| (480) 941-7500 | |
| Not Available |
| Full Name | Banner Behavioral Health Hospital Pro Fee |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 7575 E Earll Dr, Scottsdale, Arizona |
| Authorized Official Name and Position | Dennis Dahlen (SENIOR VP - FINANCE) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Behavioral Health Hospital Pro Fee 1441 N 12th St Phoenix AZ 85006-2837 Ph: () - | Banner Behavioral Health Hospital Pro Fee 7575 E Earll Dr Scottsdale AZ 85251-6915 Ph: (480) 941-7500 |
| NPI Number | 1235226499 |
|---|---|
| Provider Enumeration Date | 10/09/2006 |
| Last Update Date | 10/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235226499 | NPI | - | NPPES |
| 894601 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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