# NORTHLAND CARES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033213053
- **Authorized official:** JOHNNY MARTINEZ (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (928) 776-4612

## Contact information

- **Practice address:** 3188 N WINDSONG DR STE A, PRESCOTT VALLEY, AZ 86314-1220
- **Practice address phone:** (928) 776-4612
- **Practice address fax:** (928) 771-1767
- **Mailing address:** 3188 N WINDSONG DR STE A, PRESCOTT VALLEY, AZ 86314-1220
- **Mailing address phone:** (928) 776-4612
- **Mailing address fax:** (928) 771-1767

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251V00000X | Voluntary or Charitable Agency | — | NULL | — |
| 261QM2500X | Medical Specialty Clinic/Center | 1033213053 | AZ | Yes |

## Other

- **Enumeration date:** 09/11/2006
- **Last updated:** 05/16/2025