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
DEBBIE T BREWER (DIRECTOR OF PROVIDER ENROLLMENT)
(877) 892-9813
Entity
Organization
Contact information
Practice address
807 S PONDEROSA ST, PAYSON, AZ 85541-5542
(928) 474-3222
Mailing address
7100 COMMERCE WAY, SUITE 180, BRENTWOOD, TN 37027-2829
(615) 465-7626
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207P00000X
Emergency Medicine Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405599
—
AZ
Enumeration date
10/19/2007
Last updated
10/23/2007
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