Organization
FLAGSTAFF UNIFIED SCHOOL DISTRICT #1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY R WARREN (MEDICAID SPECIALIST)
(928) 527-6163
Entity
Organization
Contact information
Practice address
3285 E SPARROW AVE, FLAGSTAFF, AZ 86004-7794
(928) 527-6163
(928) 527-6181
Mailing address
3285 E SPARROW AVE, FLAGSTAFF, AZ 86004-7794
(928) 527-6163
(928) 527-6181
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
504896
AHCCCS PIN NUMBER
AZ
Enumeration date
02/26/2007
Last updated
08/22/2020
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