NORTHERN ARIZONA HOSPICE FLAGSTAFF NPI 1164450813

NPI Information

NPI: 1164450813
Provider Name: NORTHERN ARIZONA HOSPICE FLAGSTAFF
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
107 E OAK AVE STE 102
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 779-3366
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NORTHERN ARIZONA HOSPICE FLAGSTAFF is a hospice care community based in Flagstaff, AZ. NORTHERN ARIZONA HOSPICE FLAGSTAFF NPI is 1164450813. The provider is registered as an organization entity type.

The provider's business location address is:

107 E OAK AVE STE 102
FLAGSTAFF, AZ
ZIP 86001-818
Phone: (928) 779-3366

The provider's authorized official is James Puffenberger .
The authorized official title is Nah Cheif Executive Officer and has the following contact phone number (928) 773-2001.

The enumeration date for this NPI number is 6/30/2006 and was last updated on 11/19/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		HSPC0006	ARIZONA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AZ0204500	OTHER	ARIZONA	BCBS
2	031504	MEDICARE ID-TYPE UNSPECIFIED	ARIZONA	MEDICARE
3	344862	MEDICAID	ARIZONA

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: 4/28/2024

NPI Synchronization or Removal

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