BANNER TELEHEALTH LLC
NPI 1386352714
Clinic/Center - Mental Health (Including Community Mental Health Center) in Tucson, AZ

NPI Status: Active since November 15, 2022

Contact Information

1625 N CAMPBELL AVE
TUCSON, AZ
ZIP 85719
Phone: (520) 694-0111
Fax: (520) 694-4805

Get Directions Reviews

  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About BANNER TELEHEALTH LLC

This page provides the complete NPI Profile along with additional information for Banner Telehealth Llc, a provider established in Tucson, Arizona operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1386352714 assigned on November 2022. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Todd Werner (Division President)

NPI
1386352714
Provider Name
BANNER TELEHEALTH LLC
Entity Type
Organization
Location Address
1625 N CAMPBELL AVE TUCSON, AZ 85719
Location Phone
(520) 694-0111
Location Fax
(520) 694-4805
Mailing Address
2901 N CENTRAL AVE STE 160 PHOENIX, AZ 85012
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-15-2022
Last Update Date
11-15-2022
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261Q00000XAmbulatory Health Care Facilities

Clinic/Center

 
2261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TODD WERNER

Authorized Official Title
DIVISION PRESIDENT
Authorized Official Phone
(602) 747-4000

Reviews for BANNER TELEHEALTH LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1386352714
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2316665472
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 6 + 6 + 6 + 5 + 4 + 7 + 2 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1386352714 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073836722 NANCY CHEN MD
Individual
Hospitalist1625 N CAMPBELL AVE
TUCSON, AZ 85719
(520) 626-6614
1578025193 JAMES H SMITT MD
Individual
Emergency Medicine1625 N CAMPBELL AVE
TUCSON, AZ 85719
(520) 626-7233
1437506904DR. CHRISTOPHER BRIAN JOHNSON M.D.
Individual
Internal Medicine1625 N CAMPBELL AVE
TUCSON, AZ 85719
(520) 694-0111
1104488253 LAURA SANDT FNP-C
Individual
Nurse Practitioner (Family)1625 N CAMPBELL AVE
TUCSON, AZ 85719
(520) 694-6000
1255890737 HEATHER FYDRYCH
Individual
Nurse Practitioner (Pediatrics)1625 N CAMPBELL AVE
TUCSON, AZ 85719
(520) 694-0000
1730739152 GRACE HYEYOUNG PARK
Individual
Pharmacist1625 N CAMPBELL AVE
TUCSON, AZ 85719
(520) 694-0111
1255779385 MICHELINA CALIN DE LA MAZA MD
Individual
Pediatrics1625 N CAMPBELL AVE
TUCSON, AZ 85719
(520) 626-7053
1982040036 GALEN GARCIA M.D.
Individual
Anesthesiology (Pediatric Anesthesiology)1625 N CAMPBELL AVE
TUCSON, AZ 85719
(520) 694-0111
1396381190 SHEILA MICKELS
Individual
Nurse Anesthetist, Certified Registered1625 N CAMPBELL AVE
TUCSON, AZ 85719
(520) 694-0111
1477924082MRS. STEPHANIE WALLACE PA-C
Individual
Physician Assistant1625 N CAMPBELL AVE
TUCSON, AZ 85719
(520) 694-0111
1467099143MRS. ADRIANA JAZMIN MEDEIROS FNP
Individual
Nurse Practitioner (Family)1625 N CAMPBELL AVE
TUCSON, AZ 85719
(520) 694-0111
1447879267 BARBARA ALVA MAYER NP
Individual
Nurse Practitioner (Acute Care)1625 N CAMPBELL AVE
TUCSON, AZ 85719
(520) 694-0111
1891324992 KATIE SANDUSKY MSN/FNP-BC
Individual
Nurse Practitioner (Family)1625 N CAMPBELL AVE
TUCSON, AZ 85719
(520) 694-0111
1730708397 SPENCER JEFFREY KNIGHT MD
Individual
Student in an Organized Health Care Education/Training Program1625 N CAMPBELL AVE
TUCSON, AZ 85719
(520) 694-0111
1669092599 MADELINE MERCIER
Individual
Emergency Medicine1625 N CAMPBELL AVE
TUCSON, AZ 85719
(520) 626-7233
1235759945 ALEXANDRA JORDAN BARBOSA MD
Individual
Emergency Medicine1625 N CAMPBELL AVE
TUCSON, AZ 85719
(520) 626-7233
1134749872 ALFONSO TADEUS ZAVALA
Individual
Student in an Organized Health Care Education/Training Program1625 N CAMPBELL AVE
TUCSON, AZ 85719
(520) 694-0111
1457971996DR. JONATHAN ALLEN SEAMAN MD
Individual
Urology1625 N CAMPBELL AVE
TUCSON, AZ 85719
(520) 694-0111
1992325435DR. JONATHAN PATRICK COSS MD
Individual
Emergency Medicine1625 N CAMPBELL AVE
TUCSON, AZ 85719
(520) 626-7233
1750902110 SAMUEL MEADE FREEDMAN
Individual
Emergency Medicine1625 N CAMPBELL AVE
TUCSON, AZ 85719
(520) 626-7233

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386352714, enumerated in the NPI registry as an "organization" on November 15, 2022

The provider is located at 1625 N Campbell Ave Tucson, Az 85719 and the phone number is (520) 694-0111

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

This NPI record was last updated on November 15, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.