Organization Active NPI

Payson Walk-in Clinic

  • Primary Care Clinic/Center
  • Payson, AZ
National Provider Identifier
1356119689
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PAYSON WALK-IN CLINIC
Practice address
615 W Main St
Payson, AZ 85541-4777
Phone
(928) 363-1603
NPI assigned
Dec 15, 2023
Last updated
Dec 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Authorized official

Name
Steve Borak, FNP
Title
Nurse Practitioner
Phone
(928) 363-1603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

615 W Main St
Payson, AZ 85541-4777

Mailing address

615 W Main St
Payson, AZ 85541-4777
Phone (928) 363-1603

National Provider Directory

National Provider Directory

Locations

615 W Main St
Payson, AZ 85541
Phone (928) 363-1603

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1356119689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W MAIN ST",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855414777",
            "telephone_number": "928-363-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W MAIN ST",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855414777",
            "telephone_number": "928-363-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYSON WALK-IN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "BORAK",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "928-363-1603",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Payson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.