Organization
NORTHERN ARIZONA HEALTHCARE CORPORATION
Active
Organization
NORTHERN ARIZONA HEALTHCARE CORPORATION
Active
Parent organization
NORTHERN ARIZONA HEALTHCARE CORPORATION
Other names
Northern Arizona Healthcare Children's Health Center
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
5130 N US HIGHWAY 89, FLAGSTAFF, AZ 86004-2837
(928) 773-2054
Mailing address
1200 N BEAVER ST, ATTN: MANAGED CARE CONTRACTING, FLAGSTAFF, AZ 86001-3118
(928) 213-6543
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/03/2023
Last updated
04/14/2025
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