# STATE OF ARIZONA/STATE DEPT OF FINANCE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Arizona State Veteran Home Flagstaff
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093438053
- **Authorized official:** LAURIE A CHAPMAN (CENTRAL BILLER)
- **Authorized official phone:** (480) 318-0920

## Contact information

- **Practice address:** 2100 N GEMINI DR, FLAGSTAFF, AZ 86001-1625
- **Practice address phone:** (602) 255-3373
- **Mailing address:** 2100 N GEMINI DR, FLAGSTAFF, AZ 86001-1625
- **Mailing address phone:** (602) 255-3373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/23/2022
- **Last updated:** 12/19/2022