Banner Health
NPI 1205267549ActiveOrganization· Clinic/Center, Multi-Specialty· Susanville, CA
Clinic/Center, Multi-Specialty in Susanville, California, registered in NPPES in December 2013, part of Banner Health. The authorized official on file is Steven Stark, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1205267549 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Banner Health |
| NPI issued | Dec 12, 2013 |
| Last updated in NPPES | Apr 20, 2026 |
| Certified by provider | Apr 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Multi-Specialty Primary | 261QM1300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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