OrganizationActive
Banner Health
NPI 1114301017 · Medicare Defined Swing Bed Hospital Unit · Payson, AZ
Provider details
- NPI number
- 1114301017
- Entity type
- Organization
- Primary specialty
- Medicare Defined Swing Bed Hospital UnitHospital Units
- Parent organization
- Banner Health
- Authorized official
- Dennis Laraway, Cfo
Practice location
807 S Ponderosa St
Payson, AZ 85541-5542
Phone: (928) 474-3222
Fax: (928) 474-1295
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Registry dates
- Enumerated
- 2015-07-10
- Last updated
- 2022-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.