NPI 1114301017
Banner Health
Practice location
- Address
- 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
Authorised official
- Name
- Dennis Laraway
- Title
- Cfo
- Phone
- (602) 747-4000
Registered specialties
Medicare Defined Swing Bed Hospital Unit
Primary
Registry record
- NPI
- 1114301017
- Entity type
- Organization
- NPI issued
- 10 Jul 2015
- Record last updated
- 31 Jan 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.