BANNER PAYSON MEDICAL CENTER
NPI 1114301017
Medicare Defined Swing Bed Unit in Payson, AZ

Q: What is Banner Health's NPI number?

The NPI number for Banner Health is 1114301017. It was assigned to this organization in the NPPES registry on July 10, 2015. The provider is doing business as Banner Payson Medical Center.

Q: What is Banner Health's specialty?

The primary specialty registered for this NPI is Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

Q: When was this NPI record last updated?

The NPPES record for Banner Health was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since July 10, 2015

807 S PONDEROSA ST, PAYSON, AZ 85541(928) 474-3222(928) 474-1295 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 31, 2022, Oct 15, 2018 (2 updates tracked since 2018).

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About Banner Payson Medical Center NPPES

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

BANNER PAYSON MEDICAL CENTER (NPI 1114301017) is a healthcare organization registered as a medicare defined swing bed unit in Payson, Arizona and active in the NPI registry since July 2015. The organization lists Dennis Laraway, Cfo, as its authorized official.

NPPES Registry Identity

NPI1114301017

Entity TypeOrganization

Primary Taxonomy275N00000X

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

Fax(928) 474-1295

Organization SubpartYes

Authorized OfficialDennis LarawayCfo · (602) 747-4000

Enumeration DateJuly 10, 2015

Last NPPES UpdateJanuary 31, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 31, 2022

✔ NPI 1114301017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedicare Defined Swing Bed UnitHospital Units

Taxonomy Code275N00000X

Definition

A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

807 S PONDEROSA ST, Payson, AZ 85541

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Other Names 1

Doing Business AsBanner Payson Medical Center

Accepted Insurance

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

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