| Banner Health Clinic - Page | |
|
601 N Navajo Page AZ 86040 | |
| (928) 645-0766 | |
| (928) 645-0767 |
| Full Name | Banner Health Clinic - Page |
|---|---|
| Speciality | Clinic/Center |
| Location | 601 N Navajo, Page, Arizona |
| Authorized Official Name and Position | Ralph Parker (CEO) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Health Clinic - Page 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Banner Health Clinic - Page 601 N Navajo Page AZ 86040 Ph: (928) 645-0766 |
| NPI Number | 1902317829 |
|---|---|
| Provider Enumeration Date | 10/18/2017 |
| Last Update Date | 04/12/2024 |
| Medicare PECOS PAC ID | 5496665861 |
|---|---|
| Medicare Enrollment ID | O20180118001385 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902317829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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