NPIMap

Banner Health

Organization Active NPI Rural Health Clinic/Center · Payson, AZ

NPI 1073223012 · NPPES record last updated Oct 28, 2024

Key facts

NPI
1073223012
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
BANNER HEALTH
Practice address
117 E Main St Ste A100
Payson, AZ 85541-4606
Phone
(928) 596-4500
Fax
(928) 596-4545
NPI assigned
Nov 30, 2022
Organization subpart
No

Authorized official

Name
Hoyt Skabelund
Title
Ceo
Phone
(602) 747-4000

Owners & managing parties with NPI records 11

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Banner Health General Acute Care Hospital · Casa Grande, AZ · NPI 1003232976
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • Banner Health Critical Access Hospital · Payson, AZ · NPI 1063923340
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • Banner Health Rural Health Clinic/Center · Pine, AZ · NPI 1245940287
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • Banner Health Medicare Defined Swing Bed Hospital Unit · Payson, AZ · NPI 1861077414
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • Banner Health General Acute Care Hospital · Chandler, AZ · NPI 1972139004
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • Marjorie Bessel, MD Internal Medicine Physician · Gilbert, AZ · NPI 1710002068
    CMS ownership CORPORATE OFFICER
  • Banner Health Multi-Specialty Clinic/Center · Susanville, CA · NPI 1205267549
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • Banner Health Community Based Hospice Care Agency · Greeley, CO · NPI 1407409964
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • Banner Health Radiology Clinic/Center · Susanville, CA · NPI 1427740570
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • Banner Health Durable Medical Equipment & Medical Supplies · Casper, WY · NPI 1528846912
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • Banner Health General Acute Care Hospital · Fort Collins, CO · NPI 1659787554
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST

Owned or controlled facilities with NPI records 79

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 79

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 59

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 59

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AZ

Rural health clinic certification: CCN 038519

Legal name
BANNER HEALTH
Doing business as
BANNER PAYSON MEDICAL CENTER - BANNER HEALTH CLINIC PAYSON
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 21, 2023
Last certification
Jun 21, 2023
Ownership / control type
2B
Organization structure
Corporation · Non-profit
Enrollment address
117 E Main St
Ste A100
Payson, AZ 85541-4606
Related CCNs
031318

All disclosed owners & managing parties 23

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Julie Ann Alvarado-Dubek
Individual 		Corporate Officer
Officer		 Feb 1, 2022
Marjorie J Bessel
Individual 		Corporate Officer
Officer		 Jan 1, 2018
Jean Lance
Individual 		Corporate Officer
Chief Legal Officer		 Jun 30, 2022
Carole Faig
Individual 		Corporate Director
Board Member		 Mar 1, 2026
Hoyt Skabelund
Individual 		W-2 Managing Employee
Chief Executive Officer		 Nov 9, 2020
Operational/Managerial Control Nov 9, 2020
Paris Labruzzo
Individual 		Corporate Director
Sr Director		 Feb 1, 2026
W-2 Managing Employee Feb 1, 2026
Dean M Harrison
Individual 		Corporate Director
Board Member		 Sep 1, 2023
Anne Mariucci
Individual 		Corporate Director
Director		 Mar 1, 2015
Sujata Gosalia
Individual 		Corporate Director
Director		 Sep 1, 2018
Brenda a Schaefer
Individual 		Corporate Officer
Officer		 Mar 6, 2014
Quentin P Smith
Individual 		Corporate Director
Director		 Sep 1, 1999
Vicki Keiser
Individual 		Corporate Director
Director		 Jun 1, 2017
Holly Gregory
Individual 		Corporate Director
Sr Manager		 Feb 1, 2026
W-2 Managing Employee Feb 1, 2026
Sara Ward
Individual 		Corporate Director
Board Member		 Sep 1, 2023
Michael L Butler
Individual 		Corporate Director
Board Member		 Sep 1, 2025
Mary Schubert
Individual 		Corporate Officer
Assistant Secretary		 Jan 1, 2024
Amy Perry
Individual 		Corporate Officer
Coo		 Nov 1, 2021
Rick Myers
Individual 		Corporate Director
Board Member		 Sep 1, 2023
John F Koster
Individual 		Corporate Director
Director		 Dec 11, 2015
Mark Wallace
Individual 		Corporate Director
Director		 Sep 1, 2021
Christopher H Volk
Individual 		Corporate Director
Director		 Dec 9, 2009
Michael Garnreiter
Individual 		Corporate Director
Director		 Aug 1, 2012
Banner Health
Organization · Phoenix, AZ
Corporation, Non-profit 		5% Or Greater Direct Ownership Interest Jan 1, 2018 100%

All facility ownership & control disclosures 60

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Banner - University Medical Center Phoenix
Phoenix, AZ · CCN 030002		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 May 1, 2003
May 1, 2003
Banner Desert Medical Center
Mesa, AZ · CCN 030065		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Sep 1, 1999
Sep 1, 1999
Banner Thunderbird Medical Center
Glendale, AZ · CCN 030089		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 May 1, 2003
May 1, 2003
Banner Heart Hospital
Mesa, AZ · CCN 030105		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Aug 1, 2001
Aug 1, 2001
Banner Baywood Medical Center
Mesa, AZ · CCN 030088		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 May 1, 2003
May 1, 2003
Banner Lassen Medical Center
Susanville, CA · CCN 051320		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 1, 2003
Feb 1, 2003
Banner Behavioral Health Hospital
Scottsdale, AZ · CCN 034004		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Sep 1, 1999
Feb 2, 2015
Banner Estrella Medical Center
Phoenix, AZ · CCN 030115		 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2004
Platte County Hospital
Wheatland, WY · CCN 531305		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Oct 1, 2002
Oct 1, 2002
Washakie Medical Center
Worland, WY · CCN 531306		 Hospital 5% Or Greater Direct Ownership Interest (100%) May 1, 2003
Community Hospital
Torrington, WY · CCN 531307		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2003
Mar 18, 2015
Banner Gateway Medical Center
Gilbert, AZ · CCN 030122		 Hospital 5% Or Greater Direct Ownership Interest (100%) Aug 15, 2007
Community Hospital
Torrington, WY · CCN 53Z307		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2003
Jan 22, 2015
Banner Boswell Medical Center
Sun City, AZ · CCN 030061		 Hospital 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2008
Banner del E Webb Medical Center
Sun City West, AZ · CCN 030093		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 12, 2008
Jun 12, 2008
Banner del E Webb Medical Center
Sun City West, AZ · CCN 03S093		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Aug 1, 2008
Aug 1, 2008
Wyoming Medical Center Inc
Casper, WY · CCN 530012		 Hospital 5% Or Greater Indirect Ownership Interest (100%) Oct 1, 2020
Banner North Colorado Medical Center
Greeley, CO · CCN 060001		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Aug 15, 2007
May 1, 2003
Ogallala Community Hospital
Ogallala, NE · CCN 281355		 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 5, 2009
Ogallala Community Hospital
Ogallala, NE · CCN 28Z355		 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1987
Sterling Regional Medcenter
Sterling, CO · CCN 060076		 Hospital 5% Or Greater Direct Ownership Interest (100%) Aug 15, 2007
Banner - University Medical Center Phoenix
Phoenix, AZ · CCN 03S002		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Sep 1, 1999
Sep 1, 1999
Banner Thunderbird Medical Center
Glendale, AZ · CCN 03S089		 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 1, 1999
Banner Ironwood Medical Center
Queen Creek, AZ · CCN 030130		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Nov 1, 2010
Nov 1, 2010
Platte County Hospital
Wheatland, WY · CCN 53Z305		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Sep 21, 2010
Oct 1, 2002
Page Hospital
Page, AZ · CCN 031304		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Sep 1, 1999
Sep 1, 1999
Page Hospital
Page, AZ · CCN 03Z304		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Sep 1, 1999
Sep 1, 1999
East Morgan County Hospital
Brush, CO · CCN 061303		 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
East Morgan County Hospital
Brush, CO · CCN 06Z303		 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Banner Goldfield Medical Center
Apache Junction, AZ · CCN 030134		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 May 15, 2013
May 15, 2013
Washakie Medical Center
Worland, WY · CCN 53Z306		 Hospital 5% Or Greater Direct Ownership Interest (100%) May 1, 2013
Banner Casa Grande Medical Center
Casa Grande, AZ · CCN 030016		 Hospital 5% Or Greater Direct Ownership Interest (100%) Jun 9, 2014
Banner - University Medical Center South Campus LLC
Tucson, AZ · CCN 030111		 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 31, 2015
Banner - University Medical Center South Campus LLC
Tucson, AZ · CCN 03S111		 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
Tucson, AZ · CCN 030064		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 31, 2015
Jan 31, 2015
Banner Churchill Community Hospital
Fallon, NV · CCN 291313		 Hospital 5% Or Greater Direct Ownership Interest (100%) May 1, 2015
Banner Health
Fort Collins, CO · CCN 060126		 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 6, 2015
Banner Payson Medical Center
Payson, AZ · CCN 031318		 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2018
Banner Rehabilitation Hospital
Phoenix, AZ · CCN 033042		 Hospital 5% Or Greater Direct Ownership Interest (49%) Aug 1, 2020
Banner Ocotillo Medical Center
Chandler, AZ · CCN 030147		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Nov 2, 2020
Nov 2, 2020
Banner Health
Payson, AZ · CCN 03Z318		 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2018
Banner Lassen Medical Center
Susanville, CA · CCN 05Z320		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 1, 2003
Feb 1, 2003
Banner Same-Day Care
Loveland, CO · CCN 6000100		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Aug 15, 2007
Aug 15, 2007
Banner Home Care-Arizona
Mesa, AZ · CCN 037015		 Home health agency 5% Or Greater Direct Ownership Interest (100%) Sep 19, 2007
Banner Home Care Colorado
Greeley, CO · CCN 067147		 Home health agency 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2010
Banner Home Care-Arizona
Payson, AZ · CCN 037114		 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Aug 1, 2015
Aug 1, 2015
Banner Home Care-Arizona
Tucson, AZ · CCN 037282		 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jan 31, 2017
Banner Hospice of Northern Colorado
Greeley, CO · CCN 061503		 Hospice Operational/Managerial Control Apr 8, 2019
Banner Medical Clinic Torrington
Torrington, WY · CCN 533993		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 May 1, 2017
May 1, 2017
Banner Medical Clinic Guernsey
Guernsey, WY · CCN 533994		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 May 1, 2017
May 1, 2017
Banner Medical Clinic Wheatland
Wheatland, WY · CCN 533995		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 May 1, 2017
May 1, 2017
Banner Health Clinic Fallon
Fallon, NV · CCN 293988		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2018
Jan 1, 2018
Banner Health Center Fernley
Fernley, NV · CCN 293990		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2018
Jan 1, 2018
Ogallala Community Hospital
Ogallala, NE · CCN 288548		 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
Fort Morgan, CO · CCN 063417		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2018
Jan 1, 2018
Banner Health Center Sterling
Sterling, CO · CCN 063405		 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
Sterling, CO · CCN 068500		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2004
Jan 1, 2004
Banner Health Clinic Page
Page, AZ · CCN 038512		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 1, 2018
Feb 1, 2018
Banner Family Medicine Brush
Brush, CO · CCN 063979		 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 Pine
Pine, AZ · CCN 038520		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2018

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20230317002041 AZ Part a Provider - Rural Health Clinic 9537078365 Practice locations: Payson, AZ

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Yes

Addresses

Primary practice location

117 E Main St Ste A100
Payson, AZ 85541-4606

Mailing address

2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702

Other names

  • Banner Payson Medical Center - Banner Health Clinic Payson Doing business as

Other providers in Payson, AZ

All providers in Payson, AZ · Rural Health Clinic/Center in Arizona

Sources for this page

Verify at the official NPI Registry.