PAYSON HOSPITAL CORPORATION (NPI# 1881665545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881665545 |
| Entity Type | Organization |
| Organization Name | PAYSON HOSPITAL CORPORATION |
| Other Organization Name | PAYSON REGIONAL MEDICAL CENTER |
| Practice Address |
807 S Ponderosa St Payson AZ 85541-5542 |
| Practice Telephone | 9284743222 |
| Mailing Telephone | 9284743222 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2011-11-02 |
| Authorized Official Name | LAURIE HOLTSFORD (DIR BUSINESS OFFICE SUP/AUTH OFFICI) |
| Authorized Official Telephone | 6154657488 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | H0089 | AZ | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | AZ0205320 | 01 | |
| INTERGROUP | 0912454 | 01 | |
| AZ | 405599 | 05 | |
| HEALTHNET | IZ0088 | 01 | |
| DEPT OF LABOR | 1894383 | 01 | |
| AHCCCS | PHH070030001 | 01 |
| Other Name | Type Code |
|---|---|
| Payson Regional Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972792588 | Payson Hospital Corporation | Nurse Anesthetist, Certified Registered | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2007-10-19 |
| 1760454052 | Payson Hospital Corporation | Medicare Defined Swing Bed Unit | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2006-02-02 |
| Street Address |
807 S PONDEROSA ST |
| City | PAYSON |
| State | AZ |
| Zip Code | 85541-5542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457357360 | Guy Caraffa | Nurse Anesthetist, Certified Registered | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2005-06-24 |
| 1205320777 | Jessica L Balcom | Nurse Practitioner | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2018-06-19 |
| 1063923340 | Banner Health | General Acute Care Hospital | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2017-10-13 |
| 1568995470 | Andrew Clark | Emergency Medicine | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2017-04-07 |
| 1972056588 | Jacob Troy Russell | Nurse Anesthetist, Certified Registered | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2016-07-31 |
| 1114301017 | Banner Health | Medicare Defined Swing Bed Unit | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2015-07-10 |
| 1063893121 | Banner Health | General Acute Care Hospital | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2015-06-15 |
| 1831503697 | Alex Vlahopoulos | Emergency Medicine | 807 S Ponderosa St, Payson, AZ 85541 | 2014-06-19 |
| 1912280900 | Pine View Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2011-09-26 |
| 1013221290 | Nagendra Gupta | Internal Medicine | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2010-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447805130 | Melissa Marie Avery | Registered Nurse | 903 Az-260, Payson, AZ 85541 | 2019-08-08 |
| 1952803710 | Payson Orthodontics | Dentist | 902 S Beeline Hwy, Payson, AZ 85541 | 2018-03-07 |
| 1568844181 | Banner Home Care Arizona | Home Health | 708 E Route 260 Ste A1, Payson, AZ 85541 | 2015-06-19 |
| 1063893626 | Sage Counseling, Inc. | Community/Behavioral Health | 1100 N. Beeline Hwy, Suite F, Payson, AZ 85541 | 2015-06-09 |
| 1053712059 | Garry Gordon | Homeopath | 600 N Beeline Hwy, Payson, AZ 85541 | 2014-09-09 |
| 1821406901 | Monica Nestich | Physical Therapy Assistant | 708 E. State Hwy 260, Payson, AZ 85541 | 2014-08-01 |
| 1841601523 | Megan Fragale Saalfrank | Pharmacist | 401 E. Highway 260, Payson, AZ 85541 | 2014-05-15 |
| 1750791836 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 600 E. Highway 260, Suite 4 & 5, Payson, AZ 85541 | 2014-04-29 |
| 1164775169 | Kc's Home Health Care LLC of Payson | Home Health | 114 E. Highway 260, Payson, AZ 85541 | 2012-10-16 |
| 1598014458 | Ivan D. Mclaws, Dpm | Podiatrist | 200 East Lone Pine Dr., Payson, AZ 85541 | 2012-09-06 |
| Find all providers in zip 85541 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063893121 | Banner Health | General Acute Care Hospital | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2015-06-15 |
| 1851345839 | Mountain View Hospital, Inc. | General Acute Care Hospital | 1000 E 100 N, Payson, UT 84651-1600 | 2006-05-22 |
| 1760436745 | Mountain View Hospital, Inc. | General Acute Care Hospital | 1000 E 100 N, Payson, UT 84651-1600 | 2006-05-22 |
| 1487607669 | Mountain View Hospital, Inc. | General Acute Care Hospital | 1000 E 100 N, Payson, UT 84651-1600 | 2006-05-18 |
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| 1972139004 | Banner Health | General Acute Care Hospital | 1405 S Alma School Rd, Chandler, AZ 85286 | 2020-03-20 |
| 1851927669 | Northwest Sahuarita Hospital LLC | General Acute Care Hospital | 16260 S Rancho Sahuarita Blvd, Sahuarita, AZ 85629 | 2020-03-13 |
| 1265063010 | Honorhealth | General Acute Care Hospital | 33400 N 32nd Ave, Phoenix, AZ 85085-8876 | 2020-01-30 |
| 1447898622 | Vhs of Arrowhead, Inc. | General Acute Care Hospital | 16815 W. Bell Rd, Surprise, AZ 85374 | 2019-12-18 |
| 1699322925 | Valley Hospitalists Group Pllc | General Acute Care Hospital | 6227 E Juniper Ave, Scottsdale, AZ 85254-1314 | 2019-08-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1487218509 | Smsj Tucson Holdings, LLC | General Acute Care Hospital | 5620 W Cortaro Farms Rd, Tucson, AZ 85742-9559 | 2019-04-24 |
| 1518409218 | Rachel Vaughn | General Acute Care Hospital | 2623 N 108th Dr, Avondale, AZ 85392-5806 | 2016-11-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.