Organization
BANNER HEALTH
Active
Organization
BANNER HEALTH
Active
Other names
Banner Payson Medical Center - Banner Health Clinic Pine
Organization subpart
No
Provider details
NPI number
Authorized official
HOYT SKABELUND (CEO)
(602) 747-4000
Entity
Organization
Contact information
Practice address
6152 W HARDSCRABBLE MESA RD, MAILING ADDRESS PO BOX 62, PINE, AZ 85544-5238
(928) 596-4848
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/30/2022
Last updated
04/14/2026
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