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BANNER HEALTH CENTER AT PAYSON
NPI 1316982648
Clinic/Center - Primary Care in Payson, AZ

Active since June 19, 2006
117 EAST MAIN STREET, PAYSON, AZ 85541(928) 474-1714 Get Directions Write a Review

NPPES record last updated: July 31, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Banner Health Center At Payson NPPES

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

BANNER HEALTH CENTER AT PAYSON (NPI 1316982648) is a healthcare organization registered as a primary care in Payson, Arizona and active in the NPI registry since June 2006. The organization lists Dennis Dahlen, Sr Vice President Finance, as its authorized official.

NPPES Registry Identity

NPI1316982648
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBANNER HEALTH CENTER AT PAYSON
Location Address117 EAST MAIN STREETPayson, AZ 85541-5662
Mailing Address1441 N 12th StPhoenix, AZ 85006-2837
Phone(928) 474-1714
Organization SubpartYesParent: Banner Health
Authorized OfficialDennis DahlenSr Vice President Finance · (602) 747-4000
Enumeration DateJune 19, 2006
Last NPPES UpdateJuly 31, 2008
✔ NPI 1316982648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
117 EAST MAIN STREET, Payson, AZ 85541
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Other Identifiers 2

Medicaid538689AZ
Medicare PINZ74000AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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 Waiver 03D2271876

Banner Health - Cardiopulmonary · Payson, AZ
Active · expires Nov 8, 2026
CLIA Number03D2271876
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateNovember 9, 2024
Certificate Expiration DateNovember 8, 2026
Laboratory DirectorRichard Eisen
Laboratory Phone(602) 743-3208
Laboratory LocationBanner Health - Cardiopulmonary803 S Ponderosa, Ste A, Payson, AZ 85541
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is BANNER HEALTH CENTER AT PAYSON's NPI number?

The NPI number assigned to this healthcare provider is 1316982648, enumerated as an "organization" on June 19, 2006.

Where is the provider located?

The provider is located at 117 EAST MAIN STREET PAYSON, AZ 85541 and the phone number is (928) 474-1714.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

What insurance does BANNER HEALTH CENTER AT PAYSON accept?

The provider might be accepting Accepts: UnitedHealthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.