| Banner Payson Medical Center - Banner Health Clinic Payson | |
|
117 E Main St Ste A100 Payson AZ 85541-4606 | |
| (928) 596-4500 | |
| (928) 596-4545 |
| Full Name | Banner Payson Medical Center - Banner Health Clinic Payson |
|---|---|
| Speciality | Clinic/Center |
| Location | 117 E Main St Ste A100, Payson, Arizona |
| Authorized Official Name and Position | Hoyt Skabelund (CEO) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Payson Medical Center - Banner Health Clinic Payson 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Banner Payson Medical Center - Banner Health Clinic Payson 117 E Main St Ste A100 Payson AZ 85541-4606 Ph: (928) 596-4500 |
| NPI Number | 1073223012 |
|---|---|
| Provider Enumeration Date | 11/30/2022 |
| Last Update Date | 10/28/2024 |
| Medicare PECOS PAC ID | 9537078365 |
|---|---|
| Medicare Enrollment ID | O20230317002041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073223012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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 | |
Banner Good Samaritan Liver Disease Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 E Main St, Suite A, Payson, AZ 85541 Phone: 602-839-4123 | |
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 | |
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