OrganizationActive
Banner Good Samaritan Liver Disease Center
NPI 1154639797 · Multi-Specialty Clinic/Center · Payson, AZ
Provider details
- NPI number
- 1154639797
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Banner Health
- Authorized official
- Dennis Dahlen, Sr Vp Finance
Mailing address
1441 N 12th St
Phoenix, AZ 85006-2837
Registry dates
- Enumerated
- 2010-09-16
- Last updated
- 2015-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.