Organization
PAYSON HOSPITAL CORPORATION
Active
Other names
Payson Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE HOLTSFORD (DIR BUSINESS OFFICE SUP/AUTH OFFICI)
(615) 465-7488
Entity
Organization
Contact information
Practice address
807 S PONDEROSA ST, PAYSON, AZ 85541-5542
(928) 474-3222
Mailing address
807 S PONDEROSA ST, PAYSON, AZ 85541-5542
(928) 474-3222
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
H0089
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0912454
INTERGROUP
—
01
—
1894383
DEPT OF LABOR
—
05
—
405599
—
AZ
01
—
AZ0205320
BCBS
—
01
—
IZ0088
HEALTHNET
—
01
—
PHH070030001
AHCCCS
—
Enumeration date
01/31/2006
Last updated
11/02/2011
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