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

NPI Status: Active since November 08, 2017

Contact Information

601 N NAVAJO
PAGE, AZ
ZIP 86040
Phone: (928) 645-0766
Fax: (928) 645-0767

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  • Organization
  • Clinic/Center
  • Rural Health
  • CLIA Number: 03D1087346
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 08-28-2026

About BANNER HEALTH CLINIC - PAGE MOBILE

This page provides the complete NPI Profile along with additional information for Banner Health Clinic - Page Mobile, a primary care provider established in Page, Arizona operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1285147678 assigned on November 2017. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's other name is Banner Health Clinic - Page Mobile. The authorized official of this NPI record is Dennis Laraway (Cfo)

NPI
1285147678
Provider Legal Name
PAGE HOSPITAL
Other Organization Name
BANNER HEALTH CLINIC - PAGE MOBILE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
601 N NAVAJO PAGE, AZ 86040
Location Phone
(928) 645-0766
Location Fax
(928) 645-0767
Mailing Address
2901 N CENTRAL AVE STE 160 PHOENIX, AZ 85012
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-08-2017
Last Update Date
12-22-2021
Code Navigator

A primary care provider (PCP) like Banner Health Clinic - Page Mobile sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DENNIS LARAWAY

Authorized Official Title
CFO
Authorized Official Phone
(602) 747-4000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D1087346
Facility Type
Hospital
Certificate Effective Date
August 29, 2024
Certificate Expiration Date
August 28, 2026
Laboratory Director
DR. GREGORY G. COONS
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Banner Health Clinic - Page Mobile on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1285147678, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
4
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 1 → 2 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 6 + 5 + 2 + 4 + 1 + 4 + 6 + 1 + 4 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1285147678.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Clinic/Center (Multi-Specialty)
601 N NAVAJO
PAGE, AZ 86040
Clinic/Center (Multi-Specialty)
601 N NAVAJO
PAGE, AZ 86040
Clinic/Center (Rural Health)
601 N NAVAJO
PAGE, AZ 86040

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285147678, enumerated as an "organization" on November 08, 2017.

The provider is located at 601 N NAVAJO PAGE, AZ 86040 and the phone number is (928) 645-0766.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.