National Provider Identifier Database

BANNER HEALTH
Rural Health


Contact Information

BANNER HEALTH
117 E MAIN ST STE A100
PAYSON, AZ85541-4606
Phone: 928-596-4500
Fax: 928-596-4545
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for BANNER HEALTH

NPI Number 1073223012
Legal business name
LBN
BANNER HEALTH
Authorized official HOYT SKABELUND - (CEO)
Entity Organization
Organization subpart No
Enumeration date 11/30/2022
Last updated 10/28/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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