Organization
NORTHERN ARIZONA HEALTHCARE CORPORATION
Active
Parent organization
NORTHERN ARIZONA HEALTHCARE CORPORATION
Other names
Northern Arizona Healthcare Medical Group Specialty Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHERN ARIZONA HEALTHCARE CORPORATION
Authorized official
ROBERT COFIELD (CHIEF OPERATING OFFICER)
(928) 773-2010
Entity
Organization
Contact information
Practice address
1215 N BEAVER ST STE 203, FLAGSTAFF, AZ 86001-3120
(928) 773-2200
Mailing address
1200 N BEAVER ST, ATTN: MANAGED CARE CONTRACTING, FLAGSTAFF, AZ 86001-3118
(928) 213-6543
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
133V00000X
Registered Dietitian
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
2084N0400X
Neurology Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
208M00000X
Hospitalist Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
Other
Enumeration date
06/15/2023
Last updated
04/14/2025
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