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Organization

NORTHERN ARIZONA HEALTHCARE CORPORATION

Active
Parent organization
NORTHERN ARIZONA HEALTHCARE CORPORATION
Other names
Northern Arizona Healthcare Medical Group Cardiology & Entire Care West
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
2000 S THOMPSON ST, FLAGSTAFF, AZ 86001-8759
(928) 226-6400
(928) 226-6411
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6527

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
207RC0001X
Clinical Cardiac Electrophysiology Physician
207RI0011X
Interventional Cardiology Physician
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
225100000X
Physical Therapist
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner
363LA2100X
Acute Care Nurse Practitioner
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
05/30/2023
Last updated
04/16/2025
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