Active NPI
Banner Health
- Rural Health Clinic/Center
- Show Low, AZ
National Provider Identifier
1942097993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- BANNER HEALTH
- Practice address
- 680 E Deuce of Clubs
Show Low, AZ 85901-4829 - Phone
- (928) 596-4580
- NPI assigned
- Apr 23, 2025
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
680 E Deuce of Clubs
Show Low, AZ 85901-4829
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Phone (602) 747-4000
Other names 1
- BANNER SAME-DAY CARE
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756339200000",
"number": "1942097993",
"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",
"telephone_number": "602-747-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 E DEUCE OF CLUBS",
"city": "SHOW LOW",
"state": "AZ",
"postal_code": "859014829",
"telephone_number": "928-596-4580"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BANNER HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-23",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"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 SAME-DAY CARE",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BANNER SAME-DAY CARE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Show Low, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.