1. Home
  2. Directory
  3. Arizona
  4. Payson
  5. Clinic Center
  6. NPI Profile

BANNER PAYSON MEDICAL CENTER - BANNER HEALTH CLINIC PAYSON
NPI 1073223012
Clinic/Center - Rural Health in Payson, AZ

Active since November 30, 2022CLIA 03D0531768 · Accreditation
117 E MAIN ST STE A100, PAYSON, AZ 85541(928) 596-4500(928) 596-4545 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Banner Payson Medical Center - Banner Health Clinic Payson NPPES

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

BANNER PAYSON MEDICAL CENTER - BANNER HEALTH CLINIC PAYSON (NPI 1073223012) is a healthcare organization registered as a rural health in Payson, Arizona and active in the NPI registry since November 2022. The organization holds an CLIA Accreditation certificate valid through January 2, 2027 and lists Hoyt Skabelund, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073223012
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameBANNER HEALTH
Location Address117 E MAIN ST STE A100Payson, AZ 85541-4606
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Phone(928) 596-4500
Fax(928) 596-4545
Organization SubpartNo
Authorized OfficialHoyt SkabelundCeo · (602) 747-4000
Enumeration DateNovember 30, 2022
Last NPPES UpdateOctober 28, 2024
NPPES CertifiedOctober 28, 2024
✔ NPI 1073223012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
117 E MAIN ST STE A100, Payson, AZ 85541
Open in Google Maps ↗

Other Names 1

Doing Business AsBanner Payson Medical Center - Banner Health Clinic Payson

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, 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 Accreditation 03D0531768

Banner Payson Medical Center · Payson, AZ
Active · expires Jan 2, 2027
CLIA Number03D0531768
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDr. Mohamed E. Mostafa
Laboratory Phone(928) 472-1351
Laboratory LocationBanner Payson Medical Center807 S Ponderosa St, Payson, AZ 85541
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 8

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

CHIP DUPRE
Student in an Organized Health Care Education/Training Program
117 E MAIN ST STE A100
PAYSON, AZ 85541
Gila County (928) 596-4500
ADAM KEMP CRANDELL DO
Family Medicine
117 E MAIN ST STE A100
PAYSON, AZ 85541
Gila County (928) 596-4500
SHAYLEE RENNER DO
Student in an Organized Health Care Education/Training Program
117 E MAIN ST STE A100
PAYSON, AZ 85541
Gila County (928) 596-4500
JAEGAR DEAN WHITE MD
Student in an Organized Health Care Education/Training Program
117 E MAIN ST STE A100
PAYSON, AZ 85541
Gila County (928) 596-4500
CORINNE MARYSSA SPIRES
Family Medicine
117 E MAIN ST STE A100
PAYSON, AZ 85541
Gila County (928) 596-4500
DR. GABRIEL HECTOR LOPEZ MD
Student in an Organized Health Care Education/Training Program
117 E MAIN ST STE A100
PAYSON, AZ 85541
Gila County (928) 596-4500
DR. MATTHEW BALLS DO
Family Medicine
117 E MAIN ST STE A100
PAYSON, AZ 85541
Gila County (289) 596-4500
DR. NICHOLAS CONNOR GALVIN DO
Family Medicine
117 E MAIN ST STE A100
PAYSON, AZ 85541
Gila County (928) 596-4500

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 1073223012. It was assigned to this organization in the NPPES registry on November 30, 2022. The provider is doing business as Banner Payson Medical Center - Banner Health Clinic Payson.

Where is Banner Health located?

Banner Health is located at 117 E Main St Ste A100, Payson, AZ 85541. The listed phone number is (928) 596-4500.

What is Banner Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Banner Health hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 03D0531768) is associated with this NPI, valid through January 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Banner Health accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona 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 October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.