# NORTHERN ARIZONA HEALTHCARE ORTHOPEDIC SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTHERN ARIZONA HEALTHCARE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1649668781
- **Legal business name:** NORTHERN ARIZONA HEALTHCARE
- **Authorized official:** ROBERT COFIELD (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (928) 773-2010

## Contact information

- **Practice address:** 1485 N TURQUOISE DR, SUITE 100, FLAGSTAFF, AZ 86001-1398
- **Practice address phone:** (928) 773-2546
- **Mailing address:** 1200 N BEAVER ST, ATTN: MANAGED CARE CONTRACTING, FLAGSTAFF, AZ 86001-3118
- **Mailing address phone:** (928) 213-6543
- **Mailing address fax:** (928) 214-3613

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/23/2014
- **Last updated:** 04/14/2025
