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BANNER GOOD SAMARITAN LIVER DISEASE CENTER
NPI 1154639797
Clinic/Center - Multi-Specialty in Payson, AZ

Active since September 16, 2010
117 E MAIN ST, SUITE A, PAYSON, AZ 85541(602) 839-4123 Get Directions Write a Review

NPPES record last updated: March 3, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Banner Good Samaritan Liver Disease Center NPPES

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

BANNER GOOD SAMARITAN LIVER DISEASE CENTER (NPI 1154639797) is a healthcare organization registered as a multi-specialty in Payson, Arizona and active in the NPI registry since September 2010. The organization lists Dennis E Dahlen, Sr Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1154639797
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBANNER GOOD SAMARITAN LIVER DISEASE CENTER
Location Address117 E MAIN ST, SUITE APayson, AZ 85541-5293
Mailing Address1441 N 12th StPhoenix, AZ 85006-2837
Phone(602) 839-4123
Organization SubpartYesParent: Banner Health
Authorized OfficialDennis E DahlenSr Vp Finance · (602) 747-4000
Enumeration DateSeptember 16, 2010
Last NPPES UpdateMarch 3, 2015
✔ NPI 1154639797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
117 E MAIN ST, Payson, AZ 85541
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Other Identifiers 1

Medicare PINZ122462

Other Providers at the Same Location NPPES 2

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

JESSICA RAE PARKER PA-C
Physician Assistant
117 E MAIN ST, SUITE A 100
PAYSON, AZ 85541
Gila County (928) 474-1714
SMI IMAGING, LLC
Radiology (Diagnostic Radiology)
117 E MAIN ST, BLDG D, SUITE 100
PAYSON, AZ 85541
Gila County (928) 468-8234

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 Good Samaritan Liver Disease Center's NPI number?

The NPI number for Banner Good Samaritan Liver Disease Center is 1154639797. It was assigned to this organization in the NPPES registry on September 16, 2010.

Where is Banner Good Samaritan Liver Disease Center located?

Banner Good Samaritan Liver Disease Center is located at 117 E Main St Suite A, Payson, AZ 85541. The listed phone number is (602) 839-4123.

What is Banner Good Samaritan Liver Disease Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Banner Good Samaritan Liver Disease Center was last updated on March 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.