PAGE HOSPITAL (NPI# 1902317829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902317829 |
Entity Type | Organization |
Organization Name | PAGE HOSPITAL |
Other Organization Name | BANNER HEALTH CLINIC PAGE |
Practice Address |
601 N Navajo Page AZ 86040 |
Mailing Address |
2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 |
Practice Telephone | 9286450766 |
Practice Fax Number | 9286450767 |
Enumeration Date | 2017-10-18 |
Last Update Date | 2019-08-16 |
Authorized Official Name | DENIS LARAWAY (CFO) |
Authorized Official Telephone | 6027474000 |
Is Organization Subpart | Y |
Parent Organization Name | BANNER HEALTH |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Banner Health Clinic Page | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578515789 | Page Hospital | General Acute Care Hospital | 501 North Navajo, Page, AZ 86040 | 2006-05-16 |
1285147678 | Page Hospital | Clinic/Center | 601 N Navajo, Page, AZ 86040 | 2017-11-08 |
1942347208 | Page Hospital | Medicare Defined Swing Bed Unit | 501 N Navajo, Page, AZ 86040 | 2007-01-30 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | PAGE HOSPITAL | 501 N Navajo, Page, AZ 86040 |
Street Address |
601 N NAVAJO |
City | PAGE |
State | AZ |
Zip Code | 86040 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366799355 | Banner Physician Specialists Arizona LLC | Clinic/Center | 601 N Navajo, Page, AZ 86040 | 2012-08-08 |
1285147678 | Page Hospital | Clinic/Center | 601 N Navajo, Page, AZ 86040 | 2017-11-08 |
1710234703 | Banner Primary Care Physicians Arizona LLC | Clinic/Center | 601 N Navajo, Page, AZ 86040 | 2012-08-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881251437 | Amy Jean Snell | Nurse Practitioner | 501 N. Navajo Dr., Page, AZ 86040 | 2019-05-20 |
1740748441 | Cameron Sidney Shick | Pharmacist | 501 N Navajo Drive, Page, AZ 86040 | 2019-03-12 |
1891250338 | Samantha Elizabeth Cannavo | Specialist/Technologist | 1801 N Navajo Dr., Page, AZ 86040 | 2019-02-08 |
1023593282 | Sally Ann Breen | Nurse Practitioner | 440 N Navajo Drive, Page, AZ 86040 | 2018-10-03 |
1114447653 | Naquita Ahern | Physical Therapist | 501 N Navajo Rd, Page, AZ 86040 | 2017-06-26 |
1396270443 | Peter Richard Jones | Physical Therapy Assistant | 43 Sixth Ave, Page, AZ 86040 | 2017-04-26 |
1407392590 | Lake Powell Dental Center, PC | Dentist | 436 Vista Avenue, Box 1956, Page, AZ 86040 | 2017-01-12 |
1992257695 | Theodore Martin | Physical Therapist | 39 6th Avenue, Page, AZ 86040 | 2016-10-28 |
1750833539 | Jacqueline Joyce Muthanga Kigundu | Nurse Practitioner | 440 North Navajo Dr, Page, AZ 86040 | 2016-10-27 |
1821540899 | George Wertz | Physical Therapist | 39 6th Ave, Page, AZ 86040 | 2016-10-26 |
Find all providers in zip 86040 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285147678 | Page Hospital | Clinic/Center | 601 N Navajo, Page, AZ 86040 | 2017-11-08 |
1184990152 | Avera St Anthonys Hospital | Clinic/Center | 103 N 5th St, Page, NE 68766-5018 | 2012-03-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316552516 | San Luis Walk-in Clinic, Inc. | Clinic/Center | 151 S Oak Ave Ste 2, San Luis, AZ 85336-0756 | 2020-09-14 |
1447865654 | San Luis Walk-in Clinic, Inc. | Clinic/Center | 151 S Oak Ave Ste 3, San Luis, AZ 85336-0756 | 2020-09-14 |
1457966657 | San Luis Walk-in Clinic, Inc. | Clinic/Center | 151 S Oak Ave Ste 5, San Luis, AZ 85336-0756 | 2020-09-14 |
1992321723 | Ponderosa Family Care, LLC | Clinic/Center | 127 E Main St Ste D, Payson, AZ 85541-5646 | 2020-06-17 |
1770097123 | Community Hospital Association, Inc. | Clinic/Center | 32919 N Center St Ste B, Wittmann, AZ 85361-9433 | 2017-11-21 |
1720433832 | Parker Medical Center, Ltd | Clinic/Center | 905 S Fiesta Ave, Parker, AZ 85344-5152 | 2016-04-26 |
1386904019 | Mz Trans | Clinic/Center | 8603 N 22nd Ave Apt 134, Phoenix, AZ 85021 | 2012-05-29 |
1497021844 | Cobre Valley Regional Medical Center | Clinic/Center | 124 N Tewskbury Blvd, Young, AZ 85554-0000 | 2012-03-30 |
1609144393 | Community Hospital Association, Inc. | Clinic/Center | 26750 S. Santa Fe Road, Suite B, Congress, AZ 85332 | 2011-12-08 |
1285869883 | Rchp-sierra Vista Inc | Clinic/Center | 1101 N San Antonio Ave, Douglas, AZ 85607-2419 | 2009-05-27 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on PAGE HOSPITAL.
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.