Banner Hospital Based Physicians West LLC

NPI #1144025446 in Ogallala, Nebraska

Provider Information

NPI Number
1144025446
Entity Type
Organization
Organization Name
Banner Hospital Based Physicians West LLC
Subpart
Yes (part of a larger organization)
Parent Organization
BANNER HEALTH
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
Feb 19, 2025
Last Updated
Feb 19, 2025

Practice Location

Address
2601 N SPRUCE ST
ZIP Code
69153-2465
Phone
(308) 284-4011

Authorized Official

Name
SHIVA BIRDI
Title
CEO
Phone
(602) 747-4000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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