OrganizationActive
Banner Health Physicians West LLC
NPI 1154768042 · Multi-Specialty Clinic/Center · Hawthorne, NV
Provider details
- NPI number
- 1154768042
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Banner Medical Group Colorado
- Organization subpart
- Yes
- Authorized official
- Dennis Laraway, Cfo(602) 747-4000
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
200 South a Street
Hawthorne, NV 89415
Phone: (775) 423-3151
Fax: (775) 428-2166
Approximate (ZIP-level) locationGet directions
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Registry dates
- Enumerated
- 2013-05-31
- Last updated
- 2022-01-13
- Certified
- 2022-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.