National Provider Identifier Database

BANNER HEALTH
Rural Health


Contact Information

BANNER HEALTH
680 E DEUCE OF CLUBS
SHOW LOW, AZ85901-4829
Phone: 928-596-4580
Fax:
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for BANNER HEALTH

NPI Number 1942097993
Legal business name
LBN
BANNER HEALTH
Authorized official HOYT SKABELUND - (CEO)
Entity Organization
Organization subpart No
Enumeration date 04/23/2025
Last updated 08/28/2025 - About 9 months 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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