OrganizationActive
Banner Health
NPI 1316358013 · Non-Pharmacy Dispensing Site · Phoenix, AZ
Banner Health is a Non-Pharmacy Dispensing Site organization in Phoenix, AZ (NPI 1316358013).
Provider details
- NPI number
- 1316358013
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Dennis Laraway, Cfo(602) 747-4000
- License
- 45424 (AZ)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Suite 605
Phoenix, AZ 85006-2848
Phone: (602) 839-2668
Street-level locationGet directions
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Other names (DBA / former)
- Doing business as
- Good Samaritan Medicine Residency 12th St
- Doing business as
- Good Samaritan Medicine Residency 12th St
Registry dates
- Enumerated
- 2014-05-15
- Last updated
- 2022-01-31
- Certified
- 2022-01-31
Frequently asked questions
- What is Banner Health's NPI number?
- Banner Health's National Provider Identifier (NPI) is 1316358013, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Banner Health?
- Banner Health is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Banner Health located?
- Banner Health's practice location on file with NPPES is 1300 N 12th St, Phoenix, AZ 85006-2848.
- What is Banner Health's phone number?
- The practice phone number listed in the NPPES registry for Banner Health is (602) 839-2668.
- Who is the authorized official for Banner Health?
- The authorized official listed on Banner Health's NPPES record is Dennis Laraway, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Banner Health's NPI active?
- Yes — Banner Health's NPI (1316358013) is active in the NPPES registry as of the last update on 2022-01-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.