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Organization

FLAGSTAFF MEDICAL CENTER

Active
Parent organization
FLAGSTAFF MEDICAL CENTER
Other names
Guardian Medical Transport
Organization subpart
Yes

Provider details

NPI number
Legal business name
FLAGSTAFF MEDICAL CENTER
Authorized official
ROBERT COFIELD (CHIEF OPERATING OFFICER)
(928) 773-2010
Entity
Organization

Contact information

Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 779-3366
Mailing address
1200 N BEAVER ST, ATTN: MANAGED CARE CONTRACTING, FLAGSTAFF, AZ 86001-3118
(928) 213-6543
(928) 214-3613

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
AZ
3416L0300X
Land Ambulance

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
071176
AZ
Enumeration date
01/14/2008
Last updated
04/16/2025
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