Payson Hospital Corporation

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

License

H0089 Issued in AZ

Legal business name

PAYSON HOSPITAL CORPORATION

Doing business as

Payson Regional Medical Center

Practice address

807 S Ponderosa St
Payson, AZ 85541-5542

Phone

(928) 474-3222

NPI assigned

Feb 2, 2006

Last updated

Nov 14, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

PAYSON HOSPITAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Michael Portacci

Title

Senior VP, Group Operations

Phone

(888) 373-9600

Specialties & licenses 1

Addresses

Other names 1

• Payson Regional Medical Center Doing business as

Part of

Payson Hospital Corporation

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Payson Hospital Corporation

  dba Payson Regional Medical Center

  • General Acute Care Hospital
  • Payson, AZ
  • NPI 1881665545
  NPPES parent name

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1760454052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844825",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844825"
        },
        {
            "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": "928-474-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYSON HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAYSON HOSPITAL CORPORATION",
        "enumeration_date": "2006-02-02",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "PORTACCI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SENIOR VP, GROUP OPERATIONS",
        "authorized_official_telephone_number": "888-373-9600"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "AZ",
            "license": "H0089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Payson Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Medicare Defined Swing Bed Hospital Unit in Payson, AZ
• Providers in Payson, AZ by specialty
• Medicare Defined Swing Bed Hospital Unit in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.