BANNER HEALTH CENTER AT PAYSON NPI 1316982648

NPI Information

NPI: 1316982648
Provider Name: BANNER HEALTH CENTER AT PAYSON
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
117 EAST MAIN STREET
PAYSON, AZ
ZIP 85541
Phone: (928) 474-1714
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BANNER HEALTH CENTER AT PAYSON is a primary care clinic center in Payson, AZ. BANNER HEALTH CENTER AT PAYSON NPI is 1316982648. The provider is registered as an organization entity type.

The provider's business location address is:

117 EAST MAIN STREET
PAYSON, AZ
ZIP 85541-662
Phone: (928) 474-1714

The provider's authorized official is Dennis Dahlen .
The authorized official title is Sr Vice President Finance and has the following contact phone number (602) 747-4000.

The enumeration date for this NPI number is 6/19/2006 and was last updated on 7/31/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	538689	MEDICAID	ARIZONA
2	Z74000	MEDICARE PIN	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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