NPIMap

Organization Active NPI

Goodwill of Northern Arizona

  • Voluntary or Charitable Agency
  • Flagstaff, AZ
National Provider Identifier
1104067008
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
GOODWILL OF NORTHERN ARIZONA
Practice address
2225 N Steves Blvd
Flagstaff, AZ 86004-6115
Phone
(928) 526-9188
Fax
(928) 526-9240
NPI assigned
Mar 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Hirsch
Title
President/Ceo
Phone
(928) 526-9188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

2225 N Steves Blvd
Flagstaff, AZ 86004-6115

Mailing address

PO Box 1060
Flagstaff, AZ 86002-1060
Phone (928) 526-9188

Other identifiers 1

IdentifierTypeStateIssuer
019522OtherAZAHCCCS

National Provider Directory

National Provider Directory
Tax ID family
Goodwill of Northern Arizona6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1104067008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1060",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860021060",
            "telephone_number": "928-526-9188",
            "fax_number": "928-526-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 N STEVES BLVD",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860046115",
            "telephone_number": "928-526-9188",
            "fax_number": "928-526-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL OF NORTHERN ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-23",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "HIRSCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "928-526-9188"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "019522",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.