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Organization

NORTHERN ARIZONA HEALTHCARE CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT COFIELD (CHIEF OPERATING OFFICER)
(928) 773-2010
Entity
Organization

Contact information

Practice address
1200 N. BEAVER STREET, ATTN: PAYER CREDENTIALING, FLAGSTAFF, AZ 86001-3118
(928) 773-2546
(928) 213-6292
Mailing address
1200 N. BEAVER STREET, ATTN: MANAGED CARE CONTRACTING, FLAGSTAFF, AZ 86001-3118
(928) 213-6543
(928) 214-3613

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
207RC0000X
Cardiovascular Disease Physician
207V00000X
Obstetrics & Gynecology Physician
207W00000X
Ophthalmology Physician
207X00000X
Orthopaedic Surgery Physician
207ZP0101X
Anatomic Pathology Physician
208000000X
Pediatrics Physician
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
2084P0800X
Psychiatry Physician
208600000X
Surgery Physician
2086S0129X
Vascular Surgery Physician
208800000X
Urology Physician
208M00000X
Hospitalist Physician

Other

Enumeration date
11/09/2016
Last updated
04/16/2025
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