Organization
PAGE HOSPITAL
Active
Parent organization
BANNER HEALTH
Other names
Banner Health Clinic - Page Mobile
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
601 N NAVAJO, PAGE, AZ 86040
(928) 645-0766
(928) 645-0767
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
11/08/2017
Last updated
12/22/2021
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