OrganizationActive
Banner Hospital Based Physicians Arizona LLC
NPI 1316294242 · Multi-Specialty Clinic/Center · Page, AZ
Provider details
- NPI number
- 1316294242
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Banner Medical Group
- Organization subpart
- Yes
- Authorized official
- Shiva Birdi, Ceo(602) 747-4000
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
501 N Navajo
Mailing Po Box 1447 Page 86040-1447
Page, AZ 86040
Phone: (928) 645-0112
Approximate (ZIP-level) locationGet directions
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Registry dates
- Enumerated
- 2012-08-09
- Last updated
- 2026-04-16
- Certified
- 2026-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.