| Banner Good Samaritan Liver Disease Center | |
|
117 E Main St Suite A Payson AZ 85541-5293 | |
| (602) 839-4123 | |
| Not Available |
| Full Name | Banner Good Samaritan Liver Disease Center |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 117 E Main St, Payson, Arizona |
| Authorized Official Name and Position | Dennis E Dahlen (SR VP FINANCE) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Good Samaritan Liver Disease Center 1441 N 12th St Phoenix AZ 85006-2837 Ph: () - | Banner Good Samaritan Liver Disease Center 117 E Main St Suite A Payson AZ 85541-5293 Ph: (602) 839-4123 |
| NPI Number | 1154639797 |
|---|---|
| Provider Enumeration Date | 09/16/2010 |
| Last Update Date | 03/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154639797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Banner Payson Medical Center - Banner Health Clinic Payson Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 117 E Main St Ste A100, Payson, AZ 85541 Phone: 928-596-4500 Fax: 928-596-4545 | |
North Country Healthcare Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 126 E Main St Ste B, Payson, AZ 85541 Phone: 928-472-3700 Fax: 928-468-8605 | |
Payson Healthcare Management Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 126 E Main St Ste B, Payson, AZ 85541 Phone: 928-472-4675 Fax: 928-472-3427 | |
Ponderosa Family Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 806 S Ponderosa St, Payson, AZ 85541 Phone: 928-468-8603 | |
Eagle Springs Family Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 903 E. Highway 260,, Suite 4, Payson, AZ 85541 Phone: 928-468-7700 Fax: 928-468-7703 | |
New Bridges Community Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 616 S Beeline Hwy Ste 101, Payson, AZ 85541 Phone: 623-281-9797 |