Organization
PAYSON HOSPITAL CORPORATION
Active
Parent organization
PAYSON HOSPITAL CORPORATION
Other names
Payson Regional Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAYSON HOSPITAL CORPORATION
Authorized official
MICHAEL PORTACCI (SENIOR VP, GROUP OPERATIONS)
(888) 373-9600
Entity
Organization
Contact information
Practice address
807 S PONDEROSA ST, PAYSON, AZ 85541-5542
(928) 474-3222
Mailing address
PO BOX 844825, DALLAS, TX 75284-4825
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
H0089
AZ
Other
Enumeration date
02/02/2006
Last updated
11/14/2007
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