Banner Health

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

BANNER HEALTH

Doing business as

Banner Payson Medical Center - Banner Health Clinic Pine

Practice address

6152 W Hardscrabble Mesa Rd
Mailing Address PO Box 62
Pine, AZ 85544-5238

Phone

(928) 596-4848

NPI assigned

Nov 30, 2022

Last updated

Apr 14, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hoyt Skabelund

Title

Ceo

Phone

(602) 747-4000

Specialties & licenses 1

Addresses

Other names 1

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

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245940287. Details of each certification follow.

• CCN 038520 Rural health clinic · Active · Details

Rural health clinic certification: CCN 038520

Legal name

BANNER HEALTH

Doing business as

BANNER PAYSON MEDICAL CENTER - BANNER HEALTH CLINIC PINE

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

CorporationNon-profit

Enrollment address

6152 Hardscrabble Rd
Pine, AZ 85544-5238

Related CCNs

031318

Related certifications (CCN) 1

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

• Banner Health

  dba Banner Payson Medical Center

  • Critical Access Hospital
  • Payson, AZ
  • NPI 1063923340

  Parent provider

  Provider of Services

Other NPIs with the same Medicare PAC ID 10

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

• Banner Health

  dba Banner Casa Grande Medical Center

  • General Acute Care Hospital
  • Casa Grande, AZ
  • NPI 1003232976

  9537078365

  Same PAC ID
• Banner Health

  dba Banner Payson Medical Center

  • Critical Access Hospital
  • Payson, AZ
  • NPI 1063923340

  9537078365

  Same PAC ID
• Banner Health

  dba Banner Payson Medical Center - Banner Health Clinic Payson

  • Rural Health Clinic/Center
  • Payson, AZ
  • NPI 1073223012

  9537078365

  Same PAC ID
• Banner Health

  dba Banner Payson Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Payson, AZ
  • NPI 1861077414

  9537078365

  Same PAC ID
• Banner Health

  dba Banner Ocotillo Medical Center

  • General Acute Care Hospital
  • Chandler, AZ
  • NPI 1972139004

  9537078365

  Same PAC ID
• Banner Health

  • Multi-Specialty Clinic/Center
  • Susanville, CA
  • NPI 1205267549

  9537078365

  Same PAC ID
• Banner Health

  dba Banner Hospice of Northern Colorado

  • Community Based Hospice Care Agency
  • Greeley, CO
  • NPI 1407409964

  9537078365

  Same PAC ID
• Banner Health

  • Radiology Clinic/Center
  • Susanville, CA
  • NPI 1427740570

  9537078365

  Same PAC ID
• Banner Health

  • Durable Medical Equipment & Medical Supplies
  • Casper, WY
  • NPI 1528846912

  9537078365

  Same PAC ID
• Banner Health

  dba Banner Fort Collins Medical Center

  • General Acute Care Hospital
  • Fort Collins, CO
  • NPI 1659787554

  9537078365

  Same PAC ID

Tax ID family

M E Lee MD28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

• Banner Estrella Medical Center

  • Nursing Care Agency
  • Phoenix, AZ
  • NPI 1538584628
  NPD tax ID
• Banner Good Samaritan

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1598927592
  NPD tax ID
• Banner Health

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1013130145
  NPD tax ID
• Banner Health

  dba Banner Payson Medical Center

  • Critical Access Hospital
  • Payson, AZ
  • NPI 1063923340
  NPD tax ID
• Banner Health

  dba Good Samaritan Medicine Residency 12th St

  • Non-Pharmacy Dispensing Site
  • Phoenix, AZ
  • NPI 1316358013
  NPD tax ID
• Banner Health

  dba Banner Health Clinic- Tempe

  • Non-Pharmacy Dispensing Site
  • Tempe, AZ
  • NPI 1316375801
  NPD tax ID
• Banner Health

  dba Banner Health Clinic-32nd St Internal Medicine

  • Non-Pharmacy Dispensing Site
  • Phoenix, AZ
  • NPI 1326476813
  NPD tax ID
• Banner Health

  dba Banner Health Center Peoria

  • Non-Pharmacy Dispensing Site
  • Peoria, AZ
  • NPI 1396156139
  NPD tax ID
• Banner Health

  dba Banner Good Samaritan Op Clinic Pharmacy

  • Clinic Pharmacy
  • Phoenix, AZ
  • NPI 1497848824
  NPD tax ID
• Banner Health

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1538402995
  NPD tax ID
• Banner Health

  dba Banner Occupational Health Services

  • Non-Pharmacy Dispensing Site
  • Phoenix, AZ
  • NPI 1588098313
  NPD tax ID
• Banner Health

  dba Banner Good Samaritan Medical Center

  • Institutional Pharmacy
  • Phoenix, AZ
  • NPI 1598867996
  NPD tax ID

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.

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

  dba Banner Casa Grande Medical Center

  • General Acute Care Hospital
  • Casa Grande, AZ
  • NPI 1003232976

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Banner Health

  dba Banner Payson Medical Center

  • Critical Access Hospital
  • Payson, AZ
  • NPI 1063923340

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Banner Health

  dba Banner Payson Medical Center - Banner Health Clinic Payson

  • Rural Health Clinic/Center
  • Payson, AZ
  • NPI 1073223012

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Banner Health

  dba Banner Payson Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Payson, AZ
  • NPI 1861077414

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Banner Health

  dba Banner Ocotillo Medical Center

  • General Acute Care Hospital
  • Chandler, AZ
  • NPI 1972139004

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Marjorie Bessel, MD

  • Internal Medicine Physician
  • Gilbert, AZ
  • NPI 1710002068

  Corporate Officer

  CMS ownership
• Banner Health

  • Multi-Specialty Clinic/Center
  • Susanville, CA
  • NPI 1205267549

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Banner Health

  dba Banner Hospice of Northern Colorado

  • Community Based Hospice Care Agency
  • Greeley, CO
  • NPI 1407409964

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Banner Health

  • Radiology Clinic/Center
  • Susanville, CA
  • NPI 1427740570

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Banner Health

  • Durable Medical Equipment & Medical Supplies
  • Casper, WY
  • NPI 1528846912

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Banner Health

  dba Banner Fort Collins Medical Center

  • General Acute Care Hospital
  • Fort Collins, CO
  • NPI 1659787554

  5% Or Greater Direct Ownership Interest

  CMS ownership

All facility ownership & control disclosures 60

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

Owned or controlled facilities with NPI records 79

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

• Banner - University Medical Center Phoenix

  • Psychiatric Hospital Unit
  • Phoenix, AZ
  • NPI 1629122171

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Banner - University Medical Center Phoenix

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1841224870

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Banner - University Medical Center South Campus LLC

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1558759498

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Banner - University Medical Center South Campus LLC

  • Psychiatric Hospital Unit
  • Tucson, AZ
  • NPI 1801284617

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Banner - University Medical Center South Campus LLC

  • Nutrition Education Nutritionist
  • Tucson, AZ
  • NPI 1922660182

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Banner - University Medical Center Tucson Campus LLC

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1265820179

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Banner - University Medical Center Tucson Campus LLC

  • Nutrition Education Nutritionist
  • Tucson, AZ
  • NPI 1861102881

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Banner Baywood Medical Center

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1194758284

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Banner Behavioral Health Hospital

  • Psychiatric Hospital
  • Scottsdale, AZ
  • NPI 1942319199

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Banner Boswell Medical Center

  • General Acute Care Hospital
  • Sun City, AZ
  • NPI 1952560914

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Banner del E Webb Medical Center

  • General Acute Care Hospital
  • Sun City West, AZ
  • NPI 1588823553

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Banner del E Webb Medical Center

  • Psychiatric Hospital Unit
  • Sun City West, AZ
  • NPI 1588825848

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 59

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

• Banner - University Medical Center Phoenix

  • Psychiatric Hospital Unit
  • Phoenix, AZ
  • NPI 1629122171

  Banner Health

  CMS ownership
• Banner - University Medical Center Phoenix

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1841224870

  Banner Health

  CMS ownership
• Banner - University Medical Center South Campus LLC

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1558759498

  Banner Health

  CMS ownership
• Banner - University Medical Center South Campus LLC

  • Psychiatric Hospital Unit
  • Tucson, AZ
  • NPI 1801284617

  Banner Health

  CMS ownership
• Banner - University Medical Center Tucson Campus LLC

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1265820179

  Banner Health

  CMS ownership
• Banner Baywood Medical Center

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1194758284

  Banner Health

  CMS ownership
• Banner Behavioral Health Hospital

  • Psychiatric Hospital
  • Scottsdale, AZ
  • NPI 1942319199

  Banner Health

  CMS ownership
• Banner Boswell Medical Center

  • General Acute Care Hospital
  • Sun City, AZ
  • NPI 1952560914

  Banner Health

  CMS ownership
• Banner del E Webb Medical Center

  • General Acute Care Hospital
  • Sun City West, AZ
  • NPI 1588823553

  Banner Health

  CMS ownership
• Banner del E Webb Medical Center

  • Psychiatric Hospital Unit
  • Sun City West, AZ
  • NPI 1588825848

  Banner Health

  CMS ownership
• Banner Desert Medical Center

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1720011810

  Banner Health

  CMS ownership
• Banner Estrella Medical Center

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1275566200

  Banner Health

  CMS ownership

Practitioners 2

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.

• Emily M Orr, FNP-C

  • Family Nurse Practitioner
  • Glendale, AZ
  • NPI 1306860630
  NPD (past)
• Tamara Helene Rector, NP

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1225443815
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1245940287",
    "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": "6152 W HARDSCRABBLE MESA RD",
            "address_2": "MAILING ADDRESS PO BOX 62",
            "city": "PINE",
            "state": "AZ",
            "postal_code": "855445238",
            "telephone_number": "928-596-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANNER HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-30",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "SKABELUND",
        "authorized_official_first_name": "HOYT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Banner Payson Medical Center - Banner Health Clinic Pine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Molly Christner, MLD, CLT, LMT
• Vincent J Haddad
• Lisa Marie York, MD (Pine Strawberry Medical Center)
• Christine Mae Nelson, RT
• Pine Drugs

• Rural Health Clinic/Center in Pine, AZ
• Providers in Pine, AZ by specialty
• Rural Health Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.