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BANNER HEALTH CLINIC - PAGE MOBILE
NPI 1285147678
Clinic/Center - Rural Health in Page, AZ

Active since November 08, 2017CLIA Certified · 2 labs
601 N NAVAJO, PAGE, AZ 86040(928) 645-0766(928) 645-0767 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 22, 2021, Nov 8, 2017 (2 updates tracked since 2017).

About Banner Health Clinic - Page Mobile NPPES

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

BANNER HEALTH CLINIC - PAGE MOBILE (NPI 1285147678) is a healthcare organization registered as a rural health in Page, Arizona and active in the NPI registry since November 2017. The organization holds 2 active CLIA laboratory certificates and lists Dennis Laraway, Cfo, as its authorized official.

NPPES Registry Identity

NPI1285147678
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePAGE HOSPITAL
Location Address601 N NAVAJOPage, AZ 86040
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Phone(928) 645-0766
Fax(928) 645-0767
Organization SubpartYesParent: Banner Health
Authorized OfficialDennis LarawayCfo · (602) 747-4000
Enumeration DateNovember 8, 2017
Last NPPES UpdateDecember 22, 20212 updates tracked since enumeration
NPPES CertifiedDecember 22, 2021
✔ NPI 1285147678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
601 N NAVAJO, Page, AZ 86040
Open in Google Maps ↗

Other Names 1

Other NameBanner Health Clinic - Page Mobile

CLIA Laboratory Certificates CMS CLIA 2

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 for Provider-Performed Microscopy Procedures (PPMP) 03D2045411

Page Hospital - Banner Health Clinic Page · Page, AZ
Active · expires Aug 12, 2026
CLIA Number03D2045411
Laboratory TypePhysician Office
Certificate Effective DateAugust 13, 2024
Certificate Expiration DateAugust 12, 2026
Laboratory DirectorJeannie Evans
Laboratory Phone(928) 645-0773
Laboratory LocationPage Hospital - Banner Health Clinic Page601 N Navajo Dr, Page, AZ 86040
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Accreditation 03D1087346

Page Hospital · Page, AZ
Active · expires Aug 28, 2026
CLIA Number03D1087346
Laboratory TypeHospital
Certificate Effective DateAugust 29, 2024
Certificate Expiration DateAugust 28, 2026
Laboratory DirectorDr. Gregory G. Coons
Laboratory Phone(928) 645-0126
Laboratory LocationPage Hospital501 North Navajo Drive, Page, AZ 86040
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 3

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

BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
Clinic/Center (Multi-Specialty)
601 N NAVAJO
PAGE, AZ 86040
Coconino County (928) 645-0131
BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
Clinic/Center (Multi-Specialty)
601 N NAVAJO
PAGE, AZ 86040
Coconino County (928) 645-0740
PAGE HOSPITAL
Clinic/Center (Rural Health)
601 N NAVAJO
PAGE, AZ 86040
Coconino County (928) 645-0766

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 Page Hospital's NPI number?

The NPI number for Page Hospital is 1285147678. It was assigned to this organization in the NPPES registry on November 8, 2017.

Where is Page Hospital located?

Page Hospital is located at 601 N Navajo, Page, AZ 86040. The listed phone number is (928) 645-0766.

What is Page Hospital's specialty?

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

Does Page Hospital hold CLIA laboratory certificates?

Yes. 2 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.

When was this NPI record last updated?

The NPPES record for Page Hospital was last updated on December 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.