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

Active since June 15, 2015CLIA 03D1049769 · Waiver
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: November 08, 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 a CLIA Waiver certificate valid through January 16, 2028, 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, Ambetter Health, Oscar Health Plan, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA

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.

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
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
BANNER -- UNIVERSITY PRIMARY CARE PHYSICIANS LLC
Clinic/Center (Primary Care)
807 S PONDEROSA ST
PAYSON, AZ 85541
Gila County (928) 471-3222

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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1049769) is associated with this NPI, valid through January 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Banner Health accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Oscar Health Plan, Inc. 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.