Northern Arizona Healthcare Corporation
Family Medicine in Flagstaff, AZ. Organization (NPI-2).
NPI number1669914552
StatusActive
Last updated in NPPESApr 16, 2025
Details
- NPI
- 1669914552
- Entity type
- Organization (NPI-2)
- Legal business name
- Northern Arizona Healthcare Corporation
- Organization subpart
- No
- Enumeration date
- Nov 9, 2016
- Certification date
- Apr 16, 2025
- Last updated
- Apr 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 207L00000X | Anesthesiology | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | – | – | |
| 207V00000X | Obstetrics & Gynecology | – | – | |
| 207W00000X | Ophthalmology | – | – | |
| 207X00000X | Orthopaedic Surgery | – | – | |
| 207ZP0101X | Pathology, Anatomic Pathology | – | – | |
| 208000000X | Pediatrics | – | – | |
| 2084B0040X | Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | |
| 208600000X | Surgery | – | – | |
| 2086S0129X | – | – | ||
| 208800000X | Urology | – | – | |
| 208M00000X | Hospitalist | – | – |
Practice location
1200 N. Beaver StreetAttn: Payer Credentialing
Flagstaff, AZ 86001-3118
Phone 928-773-2546 · Fax 928-213-6292
Mailing address
1200 N. Beaver StreetAttn: Managed Care Contracting
Flagstaff, AZ 86001-3118
Phone 928-213-6543 · Fax 928-214-3613
Authorized official
Robert Cofield
Chief Operating Officer
9287732010
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