OrganizationActive
Banner Good Samaritan Bariatric Program
NPI 1134172679 · Clinic/Center · Phoenix, AZ
Banner Good Samaritan Bariatric Program is a Clinic/Center organization in Phoenix, AZ (NPI 1134172679).
Provider details
- NPI number
- 1134172679
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Banner Health
- Organization subpart
- Yes
- Authorized official
- Dennis Dahlen, Sr Vice President - Finance(602) 495-4000
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1300 N 12th St
Phoenix, AZ 85006-2850
Phone: (602) 239-5000
Fax: (602) 239-3339
Street-level locationGet directions
Mailing address
1441 N 12th St
Phoenix, AZ 85006-2837
Registry dates
- Enumerated
- 2006-05-18
- Last updated
- 2007-10-15
Frequently asked questions
- What is Banner Good Samaritan Bariatric Program's NPI number?
- Banner Good Samaritan Bariatric Program's National Provider Identifier (NPI) is 1134172679, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Banner Good Samaritan Bariatric Program?
- Banner Good Samaritan Bariatric Program is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Banner Good Samaritan Bariatric Program located?
- Banner Good Samaritan Bariatric Program's practice location on file with NPPES is 1300 N 12th St, Phoenix, AZ 85006-2850.
- What is Banner Good Samaritan Bariatric Program's phone number?
- The practice phone number listed in the NPPES registry for Banner Good Samaritan Bariatric Program is (602) 239-5000.
- Who is the authorized official for Banner Good Samaritan Bariatric Program?
- The authorized official listed on Banner Good Samaritan Bariatric Program's NPPES record is Dennis Dahlen, Sr Vice President - Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Banner Good Samaritan Bariatric Program's NPI active?
- Yes — Banner Good Samaritan Bariatric Program's NPI (1134172679) is active in the NPPES registry as of the last update on 2007-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.