OrganizationActive
Banner Health
NPI 1245940287 · Rural Health Clinic/Center · Pine, AZ
Provider details
- NPI number
- 1245940287
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Hoyt Skabelund, Ceo(602) 747-4000
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
6152 W Hardscrabble Mesa Rd
Mailing Address Po Box 62
Pine, AZ 85544-5238
Phone: (928) 596-4848
Approximate (ZIP-level) locationGet directions
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Other names (DBA / former)
- Doing business as
- Banner Payson Medical Center - Banner Health Clinic Pine
Registry dates
- Enumerated
- 2022-11-30
- Last updated
- 2026-04-14
- Certified
- 2026-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.