NORTHLAND CARES NPI 1033213053

NPI Information

  • NPI: 1033213053
  • Provider Name: NORTHLAND CARES
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • CLIA Number: 03D1067634
  • Address: 3188 N WINDSONG DR STE A
    PRESCOTT VALLEY, AZ
    ZIP 86314
  • Phone: (928) 776-4612

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NPI Details

NORTHLAND CARES is a medical specialty clinic center in Prescott Valley, AZ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). NORTHLAND CARES NPI is 1033213053. The provider is registered as an organization entity type.

The provider's business location address is:

3188 N WINDSONG DR STE A
PRESCOTT VALLEY, AZ
ZIP 86314-220
Phone: (928) 776-4612
Fax: (928) 771-1767

The provider's authorized official is Johnny Martinez .
The authorized official title is Executive Director and has the following contact phone number (928) 776-4612.

The CLIA number assigned to this NPI record is 03D1067634 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/11/2006 and was last updated on 5/16/2025.

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
1251V00000XVoluntary or CharitableNo
2261QM2500XClinic/CenterMedical Specialty1033213053ARIZONAYes

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
11598778177OTHERNPI
21033213053OTHERNATIONAL PROVIDER IDENTIFIER
3402329MEDICAIDARIZONA
41356370571OTHERARIZONANATIONAL PROVIDER IDENTIFIER

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: 11/21/2025

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