Active NPI
Banner Health
Doing business as Banner Payson Medical Center
- Critical Access Hospital
- Payson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- Legal business name
- BANNER HEALTH
- Doing business as
- Banner Payson Medical Center
- Practice address
- 807 S Ponderosa St
Payson, AZ 85541-5542 - Phone
- (928) 471-3222
- NPI assigned
- Oct 13, 2017
- Last updated
- Jul 24, 2026
- Organization subpart
- Yes
- Parent organization
- BANNER HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hoyt Skabeland
- Title
- Ceo
- Phone
- (928) 471-3222
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiac Rehabilitation Clinic/Center | 261QR0404X | NU | ||
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | NU | ||
| Critical Access Hospital | 282NC0060X | NU | Primary |
Addresses
Primary practice location
807 S Ponderosa St
Payson, AZ 85541-5542
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Other practice location 1
117 E Main St Ste A100
Payson, AZ 85541-4606
Phone (928) 596-4500
Other practice location 2
803 S Ponderosa St Ste C
Payson, AZ 85541-5521
Phone (928) 471-1259
Other practice location 3
101 E State Highway 260 Ste G
Payson, AZ 85541-4921
Phone (888) 264-2127
Other practice location 4
680 E Deuce Of Clubs
Show Low, AZ 85901-4829
Phone (888) 264-2127
Other practice location 5
803 S Ponderosa St Ste A
Payson, AZ 85541-5521
Phone (928) 596-4575
Other practice location 6
6152 Hardscrabble Rd
Mailing Address PO Box 62
Pine, AZ 85544-5238
Phone (928) 596-4848
Other practice location 7
127 E Main St Ste C
Payson, AZ 85541-5646
Phone (928) 472-3450
Other practice location 8
3457 W White Mountain Blvd
Lakeside, AZ 85929-6007
Phone (888) 264-2127
Other names 1
- Banner Payson Medical Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC / Office Ally |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140721001201 | AZ | Part B Supplier - Clinic/Group Practice | 9537078365 |
Receives reassigned benefits from 8 practitioners Practice locations: Payson, AZ; Show Low, AZ; Pine, AZ; Lakeside, AZ |
| O20180413001382 | AZ | Part A Provider - Critical Access Hospital | 9537078365 | Practice locations: Payson, AZ |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1063923340. Details of each certification follow.
Hospital certification: CCN 031318
- Legal name
- BANNER HEALTH
- Doing business as
- BANNER PAYSON MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Jul 23, 2018
- Last certification
- Jul 23, 2018
- Beds
- 44
- Ownership / control type
- Other
- Organization structure
- Other
- Enrollment address
- 807 S Ponderosa St
Payson, AZ 85541-5542
Related certifications (CCN) 3
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
dba Banner Payson Medical Center - Banner Health Clinic Payson
- Rural Health Clinic/Center
- Payson, AZ
- NPI 1073223012
Parent provider
-
dba Banner Payson Medical Center - Banner Health Clinic Pine
- Rural Health Clinic/Center
- Pine, AZ
- NPI 1245940287
Parent provider
-
dba Banner Payson Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Payson, AZ
- NPI 1861077414
Other NPIs with the same Medicare PAC ID 10
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Banner Casa Grande Medical Center
- General Acute Care Hospital
- Casa Grande, AZ
- NPI 1003232976
9537078365
-
dba Banner Payson Medical Center - Banner Health Clinic Payson
- Rural Health Clinic/Center
- Payson, AZ
- NPI 1073223012
9537078365
-
dba Banner Payson Medical Center - Banner Health Clinic Pine
- Rural Health Clinic/Center
- Pine, AZ
- NPI 1245940287
9537078365
-
dba Banner Payson Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Payson, AZ
- NPI 1861077414
9537078365
-
dba Banner Ocotillo Medical Center
- General Acute Care Hospital
- Chandler, AZ
- NPI 1972139004
9537078365
-
dba Banner Hospice of Northern Colorado
- Community Based Hospice Care Agency
- Greeley, CO
- NPI 1407409964
9537078365
-
dba Banner Fort Collins Medical Center
- General Acute Care Hospital
- Fort Collins, CO
- NPI 1659787554
9537078365
Care Compare: Hospital
Medicare Care Compare- Listed as
- Banner Payson Medical Center
- Overall star rating
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Other
- Medicare certification status
- Active
- Emergency services
- No
National Provider Directory
National Provider Directory- Tax ID family
- Big Horn Family Med
- Part of
- Big Horn Family Med
Other organizations with this tax ID 27
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Care Agency
- Phoenix, AZ
- NPI 1538584628
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1598927592
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1013130145
-
dba Banner Payson Medical Center - Banner Health Clinic Pine
- Rural Health Clinic/Center
- Pine, AZ
- NPI 1245940287
-
dba Good Samaritan Medicine Residency 12th St
- Non-Pharmacy Dispensing Site
- Phoenix, AZ
- NPI 1316358013
-
dba Banner Health Clinic-32nd St Internal Medicine
- Non-Pharmacy Dispensing Site
- Phoenix, AZ
- NPI 1326476813
-
dba Banner Health Center Peoria
- Non-Pharmacy Dispensing Site
- Peoria, AZ
- NPI 1396156139
-
dba Banner Good Samaritan Op Clinic Pharmacy
- Clinic Pharmacy
- Phoenix, AZ
- NPI 1497848824
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1538402995
-
dba Banner Occupational Health Services
- Non-Pharmacy Dispensing Site
- Phoenix, AZ
- NPI 1588098313
-
dba Banner Good Samaritan Medical Center
- Institutional Pharmacy
- Phoenix, AZ
- NPI 1598867996
Locations
1676 E McMurray Blvd
Ste 3
Casa Grande, AZ 85122
Phone (520) 381-6787
1828 E Florence Blvd
Bldg A
Casa Grande, AZ 85122
Phone (520) 381-6787
1828 E Florence Blvd
Ste 108
Casa Grande, AZ 85122
Phone (520) 381-6558
1828 E Florence Blvd
Ste 128
Casa Grande, AZ 85122
Phone (520) 318-9729
1405 S Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7000
803 S Ponderosa St
Ste A
Payson, AZ 85541
Phone (520) 472-7500
680 E Deuce of Clubs
Show Low, AZ 85901
Phone (888) 264-2127
600W Leota St
North Platte, NE 69101
Phone (308) 696-8000
1255 E C St
Casper, WY 82601
Phone (307) 577-2023
Ownership & related parties
All disclosed owners & managing parties 24
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Julie Ann Alvarado-Dubek | Corporate Officer | Feb 1, 2022 | |
| Marjorie J Bessel | Corporate Officer | Jan 1, 2018 | |
| Jean Lance | Corporate Officer | Jun 30, 2022 | |
| Staci Dickerson | Corporate Officer | Jul 17, 2023 | |
| Carole Faig | Corporate Director | Mar 1, 2026 | |
| Hoyt Skabelund | Corporate Director | Nov 9, 2020 | |
| W-2 Managing Employee | Nov 9, 2020 | ||
| Paris Labruzzo | Corporate Director | Dec 7, 2022 | |
| W-2 Managing Employee | Dec 7, 2022 | ||
| Dean M Harrison | Corporate Director | Sep 1, 2023 | |
| Anne Mariucci | Corporate Director | Mar 1, 2015 | |
| Sujata Gosalia | Corporate Director | Sep 1, 2018 | |
| Brenda a Schaefer | Corporate Officer | Mar 6, 2014 | |
| Quentin P Smith | Corporate Director | Sep 1, 1999 | |
| Vicki Keiser | Corporate Director | Jun 1, 2017 | |
| Holly Gregory | Corporate Director | Jul 24, 2020 | |
| W-2 Managing Employee | Jul 24, 2020 | ||
| Sara Ward | Corporate Director | Sep 1, 2023 | |
| Michael L Butler | Corporate Director | Sep 1, 2025 | |
| Mary Schubert | Corporate Officer | Jan 1, 2024 | |
| Amy Perry | Corporate Officer | Nov 1, 2021 | |
| Rick Myers | Corporate Director | Sep 1, 2023 | |
| John F Koster | Corporate Director | Dec 11, 2015 | |
| Mark Wallace | Corporate Director | Sep 1, 2021 | |
| Christopher H Volk | Corporate Director | Dec 9, 2009 | |
| Michael Garnreiter | Corporate Director | Aug 1, 2012 | |
| Banner Health | 5% Or Greater Direct Ownership Interest | Jan 1, 2018 | 100% |
Owners & managing parties with NPI records 11
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Banner Casa Grande Medical Center
- General Acute Care Hospital
- Casa Grande, AZ
- NPI 1003232976
5% Or Greater Direct Ownership Interest
-
dba Banner Payson Medical Center - Banner Health Clinic Payson
- Rural Health Clinic/Center
- Payson, AZ
- NPI 1073223012
5% Or Greater Direct Ownership Interest
-
dba Banner Payson Medical Center - Banner Health Clinic Pine
- Rural Health Clinic/Center
- Pine, AZ
- NPI 1245940287
5% Or Greater Direct Ownership Interest
-
dba Banner Payson Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Payson, AZ
- NPI 1861077414
5% Or Greater Direct Ownership Interest
-
dba Banner Ocotillo Medical Center
- General Acute Care Hospital
- Chandler, AZ
- NPI 1972139004
5% Or Greater Direct Ownership Interest
-
- Multi-Specialty Clinic/Center
- Susanville, CA
- NPI 1205267549
5% Or Greater Direct Ownership Interest
-
dba Banner Hospice of Northern Colorado
- Community Based Hospice Care Agency
- Greeley, CO
- NPI 1407409964
5% Or Greater Direct Ownership Interest
-
- Radiology Clinic/Center
- Susanville, CA
- NPI 1427740570
5% Or Greater Direct Ownership Interest
-
- Durable Medical Equipment & Medical Supplies
- Casper, WY
- NPI 1528846912
5% Or Greater Direct Ownership Interest
-
dba Banner Fort Collins Medical Center
- General Acute Care Hospital
- Fort Collins, CO
- NPI 1659787554
5% Or Greater Direct Ownership Interest
All facility ownership & control disclosures 60
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Banner - University Medical Center Phoenix | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
May 1, 2003 May 1, 2003 |
| Banner Desert Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Sep 1, 1999 Sep 1, 1999 |
| Banner Thunderbird Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
May 1, 2003 May 1, 2003 |
| Banner Heart Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Aug 1, 2001 Aug 1, 2001 |
| Banner Baywood Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
May 1, 2003 May 1, 2003 |
| Banner Lassen Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Feb 1, 2003 Feb 1, 2003 |
| Banner Behavioral Health Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Sep 1, 1999 Feb 2, 2015 |
| Banner Estrella Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2004 |
| Platte County Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Oct 1, 2002 Oct 1, 2002 |
| Washakie Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2003 |
| Community Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2003 Mar 18, 2015 |
| Banner Gateway Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Aug 15, 2007 |
| Community Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2003 Jan 22, 2015 |
| Banner Boswell Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2008 |
| Banner del E Webb Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jun 12, 2008 Jun 12, 2008 |
| Banner del E Webb Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Aug 1, 2008 Aug 1, 2008 |
| Wyoming Medical Center Inc | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Oct 1, 2020 |
| Banner North Colorado Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Aug 15, 2007 May 1, 2003 |
| Ogallala Community Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 5, 2009 |
| Ogallala Community Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1987 |
| Sterling Regional Medcenter | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Aug 15, 2007 |
| Banner - University Medical Center Phoenix | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Sep 1, 1999 Sep 1, 1999 |
| Banner Thunderbird Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 1999 |
| Banner Ironwood Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Nov 1, 2010 Nov 1, 2010 |
| Platte County Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Sep 21, 2010 Oct 1, 2002 |
| Page Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Sep 1, 1999 Sep 1, 1999 |
| Page Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Sep 1, 1999 Sep 1, 1999 |
| East Morgan County Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| East Morgan County Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| Banner Goldfield Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
May 15, 2013 May 15, 2013 |
| Washakie Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2013 |
| Banner Casa Grande Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jun 9, 2014 |
| Banner - University Medical Center South Campus LLC | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 31, 2015 |
| Banner - University Medical Center South Campus LLC | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 31, 2015 Jan 31, 2015 |
| Banner - University Medical Center Tucson Campus LLC | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 31, 2015 Jan 31, 2015 |
| Banner Churchill Community Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2015 |
| Banner Health | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Apr 6, 2015 |
| Banner Rehabilitation Hospital | Hospital | 5% Or Greater Direct Ownership Interest (49%) | Aug 1, 2020 |
| Banner Ocotillo Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Nov 2, 2020 Nov 2, 2020 |
| Banner Health | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2018 |
| Banner Lassen Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Feb 1, 2003 Feb 1, 2003 |
| Banner Same-Day Care | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Aug 15, 2007 Aug 15, 2007 |
| Banner Home Care-Arizona | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Sep 19, 2007 |
| Banner Home Care Colorado | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2010 |
| Banner Home Care-Arizona | Home health agency | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Aug 1, 2015 Aug 1, 2015 |
| Banner Home Care-Arizona | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Jan 31, 2017 |
| Banner Hospice of Northern Colorado | Hospice | Operational/Managerial Control | Apr 8, 2019 |
| Banner Medical Clinic Torrington | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
May 1, 2017 May 1, 2017 |
| Banner Medical Clinic Guernsey | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
May 1, 2017 May 1, 2017 |
| Banner Medical Clinic Wheatland | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
May 1, 2017 May 1, 2017 |
| Banner Health Clinic Fallon | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2018 Jan 1, 2018 |
| Banner Health Center Fernley | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2018 Jan 1, 2018 |
| Ogallala Community Hospital | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2018 Jan 1, 2018 |
| Banner Health Clinic Fort Morgan | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2018 Jan 1, 2018 |
| Banner Health Center Sterling | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Feb 2, 2015 Feb 2, 2015 |
| Banner Family Care Clinic - Sterling | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2004 Jan 1, 2004 |
| Banner Health Clinic Page | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Feb 1, 2018 Feb 1, 2018 |
| Banner Family Medicine Brush | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2004 Jan 1, 2004 |
| Banner Payson Medical Center - Banner Health Clinic Payson | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2018 |
| Banner Payson Medical Center - Banner Health Clinic Pine | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2018 |
Owned or controlled facilities with NPI records 79
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Psychiatric Hospital Unit
- Phoenix, AZ
- NPI 1629122171
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1841224870
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1558759498
5% Or Greater Direct Ownership Interest
-
- Psychiatric Hospital Unit
- Tucson, AZ
- NPI 1801284617
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Nutrition Education Nutritionist
- Tucson, AZ
- NPI 1922660182
5% Or Greater Direct Ownership Interest
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1265820179
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Nutrition Education Nutritionist
- Tucson, AZ
- NPI 1861102881
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1194758284
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Psychiatric Hospital
- Scottsdale, AZ
- NPI 1942319199
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- General Acute Care Hospital
- Sun City, AZ
- NPI 1952560914
5% Or Greater Direct Ownership Interest
-
- General Acute Care Hospital
- Sun City West, AZ
- NPI 1588823553
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Psychiatric Hospital Unit
- Sun City West, AZ
- NPI 1588825848
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Facilities with the same owner 59
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Psychiatric Hospital Unit
- Phoenix, AZ
- NPI 1629122171
Banner Health
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1841224870
Banner Health
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1558759498
Banner Health
-
- Psychiatric Hospital Unit
- Tucson, AZ
- NPI 1801284617
Banner Health
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1265820179
Banner Health
-
- General Acute Care Hospital
- Sun City West, AZ
- NPI 1588823553
Banner Health
-
- Psychiatric Hospital Unit
- Sun City West, AZ
- NPI 1588825848
Banner Health
Practitioners & affiliated clinicians
Practitioners 40
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Payson, AZ
- NPI 1194393868
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1215984349
-
- Family Medicine Physician
- Payson, AZ
- NPI 1417695206
-
- Family Medicine Physician
- Payson, AZ
- NPI 1841784428
-
- Family Medicine Physician
- Payson, AZ
- NPI 1912573825
-
- Family Nurse Practitioner
- Glendale, AZ
- NPI 1306860630
-
- Family Medicine Physician
- Payson, AZ
- NPI 1093784712
-
- Diagnostic Radiology Physician
- Carson City, NV
- NPI 1326048018
-
- Family Nurse Practitioner
- Susanville, CA
- NPI 1043844947
-
- Orthopaedic Surgery Physician
- Wilmington, NC
- NPI 1790988087
Multi-Specialty
-
- Vascular & Interventional Radiology Physician
- Elko, NV
- NPI 1457383812
Affiliated clinicians 177
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Critical Care Medicine (Internal Medicine) Physician
- Sun City West, AZ
- NPI 1396772356
Hospital
-
- Critical Care Medicine (Internal Medicine) Physician
- Mesa, AZ
- NPI 1679522874
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784851200000",
"number": "1063923340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 N CENTRAL AVE STE 160",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 S PONDEROSA ST",
"city": "PAYSON",
"state": "AZ",
"postal_code": "855415542",
"telephone_number": "928-471-3222"
}
],
"practiceLocations": [
{
"address_1": "117 E Main St Ste A100",
"address_purpose": "LOCATION",
"city": "Payson",
"state": "AZ",
"postal_code": "855414606",
"country_code": "US",
"telephone_number": "928-596-4500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "803 S Ponderosa St Ste C",
"address_purpose": "LOCATION",
"city": "Payson",
"state": "AZ",
"postal_code": "855415521",
"country_code": "US",
"telephone_number": "928-471-1259",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 E State Highway 260 Ste G",
"address_purpose": "LOCATION",
"city": "Payson",
"state": "AZ",
"postal_code": "855414921",
"country_code": "US",
"telephone_number": "888-264-2127",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "680 E Deuce Of Clubs",
"address_purpose": "LOCATION",
"city": "Show Low",
"state": "AZ",
"postal_code": "859014829",
"country_code": "US",
"telephone_number": "888-264-2127",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "803 S Ponderosa St Ste A",
"address_purpose": "LOCATION",
"city": "Payson",
"state": "AZ",
"postal_code": "855415521",
"country_code": "US",
"telephone_number": "928-596-4575",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6152 Hardscrabble Rd",
"address_2": "Mailing Address PO Box 62",
"address_purpose": "LOCATION",
"city": "Pine",
"state": "AZ",
"postal_code": "855445238",
"country_code": "US",
"telephone_number": "928-596-4848",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "127 E Main St Ste C",
"address_purpose": "LOCATION",
"city": "Payson",
"state": "AZ",
"postal_code": "855415646",
"country_code": "US",
"telephone_number": "928-472-3450",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3457 W White Mountain Blvd",
"address_purpose": "LOCATION",
"city": "Lakeside",
"state": "AZ",
"postal_code": "859296007",
"country_code": "US",
"telephone_number": "888-264-2127",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BANNER HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BANNER HEALTH",
"enumeration_date": "2017-10-13",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A",
"authorized_official_last_name": "SKABELAND",
"authorized_official_first_name": "HOYT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "928-471-3222"
},
"taxonomies": [
{
"code": "261QR0404X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Cardiac Facilities",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC / Office Ally",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Banner Payson Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Payson, AZ
- Matthew Balls, DO
- Banner -- University Primary Care Physicians LLC
- Banner Cancer Center Specialists LLC
- Banner Good Samaritan Liver Disease Center
- Banner Health (Banner Payson Medical Center)
- Banner Health (Banner Payson Medical Center - Banner Health Clinic Payson)
- Banner Health (Banner Payson Medical Center)
- Banner Health (Banner Same-Day Care)
- Banner Health (Banner Payson Medical Center)
- Banner Health Center at Payson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.