Banner Health Center At Payson

LBN: Banner Health Center At Payson
Banner Health Center At Payson is an health care organization with primary practice located at 117 East Main Street , Payson AZ 85541-5662. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Banner Health Center At Payson can be contacted via phone (928) 474-1714, or through Dahlen, Dennis via phone (602) 747-4000.

Contact Information

Primary practice address
117 East Main Street Payson AZ 85541-5662
Phone: (928) 474-1714
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dahlen, Dennis
Phone: (602) 747-4000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1316982648
LBN Legal business name Banner Health Center At Payson
DBA Doing business as
Authorized official Dahlen, Dennis
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 19th, 2006
Last updated Jul 31st, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316982648 NPPES
Arizona MEDICAID 538689

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