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GOODWILL OF NORTHERN ARIZONA NPI 1104067008


NPI Information

NPI: 1104067008
Provider Name: GOODWILL OF NORTHERN ARIZONA
Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization
Address:
2225 N STEVES BLVD
FLAGSTAFF, AZ
ZIP 86004
Phone: (928) 526-9188
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GOODWILL OF NORTHERN ARIZONA is a voluntary or charitable in Flagstaff, AZ. GOODWILL OF NORTHERN ARIZONA NPI is 1104067008. The provider is registered as an organization entity type.

The provider's business location address is:

2225 N STEVES BLVD
FLAGSTAFF, AZ
ZIP 86004-115
Phone: (928) 526-9188
Fax: (928) 526-9240

The provider's authorized official is David Hirsch .
The authorized official title is President/ceo and has the following contact phone number (928) 526-9188.

The enumeration date for this NPI number is 3/23/2009 and was last updated on 3/23/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251V00000XVoluntary or CharitableYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1019522OTHERARIZONAAHCCCS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.