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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

BANNER HEALTH
NPI 1063893121
General Acute Care Hospital in Payson, AZ

Active since June 15, 2015CLIA Certified · 4 labs
807 S PONDEROSA ST, PAYSON, AZ 85541(928) 474-3222 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 24, 2026, Apr 15, 2026, Apr 3, 2026 and 1 more (4 updates tracked since 2022).

About Banner Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BANNER HEALTH (NPI 1063893121), doing business as Banner Payson Medical Center, is a healthcare organization registered as a general acute care hospital in Payson, Arizona and active in the NPI registry since June 2015. The organization holds 4 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Hoyt Skabelund, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063893121
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameBANNER HEALTH
Location Address807 S PONDEROSA STPayson, AZ 85541-5542
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Phone(928) 474-3222
Organization SubpartYes
Authorized OfficialHoyt SkabelundCeo · (602) 747-4000
Enumeration DateJune 15, 2015
Last NPPES UpdateJuly 24, 20264 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
✔ NPI 1063893121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
807 S PONDEROSA ST, Payson, AZ 85541
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Other Names 1

Doing Business AsBanner Payson Medical Center

Secondary Practice Locations 2

Location 1127 E Main St Ste CPayson, AZ 85541-5645 · Phone (928) 472-3450
Location 2803 S Ponderosa St Ste APayson, AZ 85541-5521 · Phone (928) 596-4575

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D1049769

Banner Health · Payson, AZ
Active · expires Jan 16, 2028
CLIA Number03D1049769
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 17, 2026
Certificate Expiration DateJanuary 16, 2028
Laboratory DirectorRobert Johns
Laboratory Phone(925) 537-2777
Laboratory LocationBanner Health101 E State Hwy 260 Ste G, Payson, AZ 85541
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D1074907

Banner Health · Payson, AZ
Active · expires Oct 8, 2027
CLIA Number03D1074907
Laboratory TypeOther
Certificate Effective DateOctober 9, 2025
Certificate Expiration DateOctober 8, 2027
Laboratory DirectorRobert Johns
Laboratory Phone(928) 478-8905
Laboratory LocationBanner Health101 E Highway 260, Suite G, Payson, AZ 85541
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2325740

Banner Health · Payson, AZ
Active · expires Jun 18, 2027
CLIA Number03D2325740
Laboratory TypePhysician Office
Certificate Effective DateJune 19, 2025
Certificate Expiration DateJune 18, 2027
Laboratory DirectorJeannie Evans
Laboratory Phone(928) 478-8905
Laboratory LocationBanner Health101 E State Hwy 260 Ste G, Payson, AZ 85541
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2271876

Banner Health - Cardiopulmonary · Payson, AZ
Active · expires Nov 8, 2026
CLIA Number03D2271876
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateNovember 9, 2024
Certificate Expiration DateNovember 8, 2026
Laboratory DirectorRichard Eisen
Laboratory Phone(602) 743-3208
Laboratory LocationBanner Health - Cardiopulmonary803 S Ponderosa, Ste A, Payson, AZ 85541
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NAGENDRA GUPTA MD
Internal Medicine
807 S PONDEROSA ST
PAYSON, AZ 85541
Gila County (928) 474-1398
DR. EUGENE MICHAEL FINAN MD
Obstetrics & Gynecology
807 S PONDEROSA ST
PAYSON, AZ 85541
Gila County (928) 471-3222
DR. MARK ROBERT SOLEM M.D.
Emergency Medicine
807 S PONDEROSA ST
PAYSON, AZ 85541
Gila County (928) 472-1341
BANNER HEALTH
General Acute Care Hospital (Critical Access)
807 S PONDEROSA ST
PAYSON, AZ 85541
Gila County (928) 471-3222
RIM COUNTRY ANESTHESIA SERVICES PC
Nurse Anesthetist, Certified Registered
807 S PONDEROSA ST
PAYSON, AZ 85541
Gila County (602) 273-6770
BANNER HEALTH
Medicare Defined Swing Bed Unit
807 S PONDEROSA ST
PAYSON, AZ 85541
Gila County (928) 474-3222
LORAN C JACOBS JR. CRNA
Nurse Anesthetist, Certified Registered
807 S PONDEROSA ST
PAYSON, AZ 85541
Gila County (602) 273-6770
PAUL ALEXANDER BUDNICK MD
Emergency Medicine
807 S PONDEROSA ST
PAYSON, AZ 85541
Gila County (602) 386-9982

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Banner Health's NPI number?

The NPI number for Banner Health is 1063893121. It was assigned to this organization in the NPPES registry on June 15, 2015. The provider is doing business as Banner Payson Medical Center.

Where is Banner Health located?

Banner Health is located at 807 S Ponderosa St, Payson, AZ 85541. The listed phone number is (928) 474-3222.

What is Banner Health's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Does Banner Health hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Banner Health accept?

Health plans from Ambetter from Arizona Complete Health list Banner Health as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Banner Health was last updated on July 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.