Organization
BANNER HEALTH
Active
Parent organization
BANNER HEALTH
Other names
Banner Payson Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
DENNIS LARAWAY (CFO)
(602) 747-4000
Entity
Organization
Contact information
Practice address
807 S PONDEROSA ST, PAYSON, AZ 85541-5542
(928) 474-3222
(928) 474-1295
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Enumeration date
07/10/2015
Last updated
01/31/2022
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