Organization
GOODWILL OF NORTHERN ARIZONA
Active
Organization
GOODWILL OF NORTHERN ARIZONA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HIRSCH (PRESIDENT/CEO)
(928) 526-9188
Entity
Organization
Contact information
Practice address
2225 N STEVES BLVD, FLAGSTAFF, AZ 86004-6115
(928) 526-9188
(928) 526-9240
Mailing address
PO BOX 1060, FLAGSTAFF, AZ 86002-1060
(928) 526-9188
(928) 526-9240
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019522
AHCCCS
AZ
Enumeration date
03/23/2009
Last updated
03/23/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up