Organization · Type 2 NPI
Banner Health
Rural Health Clinic/Center · Pine, AZ
NPI number
1245940287
Active
Practice location
6152 W Hardscrabble Mesa Rd, Mailing Address PO Box 62
Pine, AZ 85544-5238
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
Rural Health Clinic/Center: Definition to come...
About NPI 1245940287
Banner Health's National Provider Identifier is 1245940287, issued on Nov 30, 2022. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Pine, AZ. The record was last updated on Apr 14, 2026.