| Banner Health | |
|
117 E Main St Ste A100 Payson AZ 85541-4606 | |
| (928) 596-4500 | |
| (928) 596-4545 |
| Full Name | Banner Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 117 E Main St Ste A100, Payson, Arizona |
| Authorized Official Name and Position | Hoyt Skabelund (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 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Banner Health 117 E Main St Ste A100 Payson AZ 85541-4606 Ph: (928) 596-4500 |
| NPI Number | 1073223012 |
|---|---|
| Provider Enumeration Date | 11/30/2022 |
| Last Update Date | 10/28/2024 |
| Medicare PECOS PAC ID | 9537078365 |
|---|---|
| Medicare Enrollment ID | O20230317002041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073223012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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