BANNER HEALTH (NPI# 1063923340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063923340 |
| Entity Type | Organization |
| Organization Name | BANNER HEALTH |
| Other Organization Name | BANNER PAYSON MEDICAL CENTER |
| Practice Address |
807 S Ponderosa St Payson AZ 85541-5542 |
| Mailing Address |
2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 |
| Practice Telephone | 9284713222 |
| Practice Fax Number | 9284721383 |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2017-10-13 |
| Authorized Official Name | MATTHEW COX (SR VP FINANCE) |
| Authorized Official Telephone | 6027474000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BANNER HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| Other Name | Type Code |
|---|---|
| Banner Payson Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972139004 | Banner Health | General Acute Care Hospital | 1405 S Alma School Rd, Chandler, AZ 85286 | 2020-03-20 |
| 1659787554 | Banner Health | General Acute Care Hospital | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2014-07-11 |
| 1942613435 | Banner Health | Clinic/Center | 1676 E Mcmurray Blvd Ste 1, Casa Grande, AZ 85122-4798 | 2014-06-03 |
| 1205267549 | Banner Health | Clinic/Center | 1345 A Paul Bunyan Rd, Susanville, CA 96130-3159 | 2013-12-12 |
| 1538402995 | Banner Health | Military Hospital | 2017 E Ruby Ln, Phoenix, AZ 85024-8617 | 2013-04-03 |
| 1407409964 | Banner Health | Hospice Care, Community Based | 2726 W 11th Street Rd, Greeley, CO 80634-5408 | 2019-07-23 |
| 1124532924 | Banner Health | Ambulance | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2017-12-01 |
| 1912447855 | Banner Health | General Acute Care Hospital | 4259 S Squires Ln, Gilbert, AZ 85297-1206 | 2017-02-25 |
| 1851842892 | Banner Health | General Acute Care Hospital | 1801 16th St, Greeley, CO 80631-5154 | 2016-10-14 |
| 1154793131 | Banner Health | Clinic/Center | 2000 Boise Ave, Loveland, CO 80538-5006 | 2015-10-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | BANNER HEALTH | 2901 N Central Ave Suite 160, Phoenix, AZ 85012 |
| System for Award Management (SAM) Entities | BANNER HEALTH | 9201 W Thomas Rd, Phoenix, AZ 85037-3332 |
| Iowa Business Entities | BANNER HEALTH | 2901 N Central Ave Suite 160, Phoenix, AZ 85012 |
| Washington State Corporations | BANNER HEALTH | 2901 N Central Ave #160, Phoenix, AZ 85012 |
| New York State Corporations | BANNER HEALTH | 111 Eighth Avenue, 13th Floor, New York, Ny 10011 |
| Colorado Business Entities | Banner Health CCPHP, LLC | 530 Seventh Avenue Suite 2401, New York, NY 10018 |
| New York State Corporations | BANNER HEALTH CCPHP, LLC | 99 Washington Avenue Suite 1008, Albany, Ny 12260 |
| Colorado Business Entities | Banner Health Network | 2901 N Central Ave Ste 160, Phoenix, AZ 85012 |
| Colorado Business Entities | Banner Health Physicians-Colorado, LLC | 1801 16th Street, Greeley, CO 80631 |
| Virginia Business Entities | Banner HealthCare Solutions Inc. | 3671 Utica St., Denver, Colorado 80212 |
| Street Address |
807 S PONDEROSA ST |
| City | PAYSON |
| State | AZ |
| Zip Code | 85541-5542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457357360 | Guy Caraffa | Nurse Anesthetist, Certified Registered | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2005-06-24 |
| 1205320777 | Jessica L Balcom | Nurse Practitioner | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2018-06-19 |
| 1568995470 | Andrew Clark | Emergency Medicine | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2017-04-07 |
| 1972056588 | Jacob Troy Russell | Nurse Anesthetist, Certified Registered | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2016-07-31 |
| 1114301017 | Banner Health | Medicare Defined Swing Bed Unit | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2015-07-10 |
| 1063893121 | Banner Health | General Acute Care Hospital | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2015-06-15 |
| 1831503697 | Alex Vlahopoulos | Emergency Medicine | 807 S Ponderosa St, Payson, AZ 85541 | 2014-06-19 |
| 1912280900 | Pine View Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2011-09-26 |
| 1013221290 | Nagendra Gupta | Internal Medicine | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2010-07-30 |
| 1538300215 | Green Leaf Anesthesia Consultants Inc | Nurse Anesthetist, Certified Registered | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2009-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447805130 | Melissa Marie Avery | Registered Nurse | 903 Az-260, Payson, AZ 85541 | 2019-08-08 |
| 1952803710 | Payson Orthodontics | Dentist | 902 S Beeline Hwy, Payson, AZ 85541 | 2018-03-07 |
| 1568844181 | Banner Home Care Arizona | Home Health | 708 E Route 260 Ste A1, Payson, AZ 85541 | 2015-06-19 |
| 1063893626 | Sage Counseling, Inc. | Community/Behavioral Health | 1100 N. Beeline Hwy, Suite F, Payson, AZ 85541 | 2015-06-09 |
| 1053712059 | Garry Gordon | Homeopath | 600 N Beeline Hwy, Payson, AZ 85541 | 2014-09-09 |
| 1821406901 | Monica Nestich | Physical Therapy Assistant | 708 E. State Hwy 260, Payson, AZ 85541 | 2014-08-01 |
| 1841601523 | Megan Fragale Saalfrank | Pharmacist | 401 E. Highway 260, Payson, AZ 85541 | 2014-05-15 |
| 1750791836 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 600 E. Highway 260, Suite 4 & 5, Payson, AZ 85541 | 2014-04-29 |
| 1164775169 | Kc's Home Health Care LLC of Payson | Home Health | 114 E. Highway 260, Payson, AZ 85541 | 2012-10-16 |
| 1598014458 | Ivan D. Mclaws, Dpm | Podiatrist | 200 East Lone Pine Dr., Payson, AZ 85541 | 2012-09-06 |
| Find all providers in zip 85541 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306287644 | University of Arizona Medical Center | General Acute Care Hospital | 4561 W Plantation St, Tucson, AZ 85741-4036 | 2013-07-16 |
| 1548591720 | Cobre Valley Regional Medical Center | General Acute Care Hospital | 5880 S Hospital Drive, Globe, AZ 85501-9447 | 2010-01-27 |
| 1225274210 | Community Hospital Association, Inc. | General Acute Care Hospital | 523 Rose Ln, Wickenburg, AZ 85390-1448 | 2008-12-23 |
| 1962669929 | University Medical Center Corp | General Acute Care Hospital | 3015 N Mountain Ave, # 1, Tucson, AZ 85719-2637 | 2008-05-19 |
| 1578515789 | Page Hospital | General Acute Care Hospital | 501 North Navajo, Page, AZ 86040 | 2006-05-16 |
| 1376538231 | Gila River Health Care Corporation | General Acute Care Hospital | 17487 S. Health Care Dr., Laveen, AZ 85339-0038 | 2005-09-16 |
| 1841282852 | Community Hospital Association, Inc. | General Acute Care Hospital | 520 Rose Ln, Wickenburg, AZ 85390-1447 | 2005-08-16 |
| 1023632973 | Benson Hospital Corporation | General Acute Care Hospital | 890 W 4th St, Benson, AZ 85602-6437 | 2020-06-05 |
| 1205327582 | Benson Hospital Corporation | General Acute Care Hospital | 688 W 4th St Ste B, Benson, AZ 85602 | 2018-05-23 |
| 1437664182 | Gila River Health Care Corporation | General Acute Care Hospital | 3042 W. Queen Creek Road, Chandler, AZ 85286 | 2017-12-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.