OrganizationActive

Banner Childrens Banner Health Clinic LLC

NPI 1407191216 · Primary Care Clinic/Center · Phoenix, AZ

Provider details

NPI number: 1407191216
Entity type: Organization
Primary specialty: Primary Care Clinic/CenterAmbulatory Health Care Facilities
Parent organization: Banner Medical Group
Organization subpart: Yes
Authorized official: Shiva Birdi, Ceo(602) 747-4000

Specialties & taxonomies

Primary Care Clinic/CenterPrimary261QP2300X
Ambulatory Health Care Facilities
Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities

Profile Score

Detailed profile(88/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
13 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
23 documented practice locations

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

2901 N Central Ave Ste 160

Phoenix, AZ 85012-2702

Phone: (602) 747-4000

Street-level locationGet directions

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Mailing address