| Banner Health | |
|
680 E Deuce Of Clubs Ste B Show Low AZ 85901-4829 | |
| (928) 596-4580 | |
| Not Available |
| Full Name | Banner Health |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 680 E Deuce Of Clubs Ste B, Show Low, Arizona |
| Authorized Official Name and Position | Hoyt Skabelund (CEO) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Health 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: (602) 747-4000 | Banner Health 680 E Deuce Of Clubs Ste B Show Low AZ 85901-4829 Ph: (928) 596-4580 |
| NPI Number | 1942097993 |
|---|---|
| Provider Enumeration Date | 04/23/2025 |
| Last Update Date | 04/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942097993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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