DATE: 9/24/2023 |
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Banner Health
Call toll free 1-855-877-1716
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Request for Initial Application
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This request will be evaluated to determine if you meet facility criteria for membership and privileges. If you do meet
criteria, you will receive an application
This form is to request medical staff membership/privileges at a Banner facility.
If you are interested in participating in the Banner Health Network,
access this link: https://www.bannerhealthnetwork.com/providers/becomeanetworkprovider
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Effective 8/7/2020 - If you are interested in applying for privileges/membership to Banner Surgery
Centers, please email bsc.credentialing@atlashp.com
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