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NPI Code Detail

MEDICARE: BANNER HEALTH

MEDICARE: BANNER HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QS1200XSleep Disorder Diagnostic Clinic/Center
2261QR0404XCardiac Rehabilitation Clinic/Center
3282NC0060XCritical Access Hospital

General Provider Information

NPI Number : 1063923340
Entity Type Code : Organization
Provider Name (Legal Business Name) : BANNER HEALTH
Provider Business Mailing Address
First Line : 2901 N CENTRAL AVE STE 160
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-2702
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 807 S PONDEROSA ST
Second Line :
City : PAYSON
State : AZ
Zip : 85541-5542
Country : US
Telephone Number : 928-471-3222
Fax Number :
Authorized Official
Title or Position : CEO
Name : HOYT SKABELAND
Credential :
Telephone Number : 928-471-3222
Provider Enumeration Date : 10/13/2017
Last Update Date : 04/15/2026

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Directions to “BANNER HEALTH ” Practice Location

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