Organization
BANNER HEALTH
Active
Other names
Banner Same-Day Care
Organization subpart
No
Provider details
NPI number
Authorized official
HOYT SKABELUND (CEO)
(602) 747-4000
Entity
Organization
Contact information
Practice address
3457 W WHITE MOUNTAIN BLVD, LAKESIDE, AZ 85929-6007
(928) 358-1515
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
(602) 747-4000
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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