NPIMap

Organization Active NPI

Northern Arizona Healthcare Corporation

Doing business as Northern Arizona Healthcare Children's Health Center

  • Multi-Specialty Clinic/Center
  • Flagstaff, AZ
National Provider Identifier
1235732702
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
NORTHERN ARIZONA HEALTHCARE CORPORATION
Doing business as
Northern Arizona Healthcare Children's Health Center
Practice address
5130 N US Highway 89
Flagstaff, AZ 86004-2837
Phone
(928) 773-2054
Fax
(928) 773-2286
NPI assigned
Nov 18, 2020
Last updated
Apr 16, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHERN ARIZONA HEALTHCARE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Robert Cofield
Title
Chief Operating Officer
Phone
(928) 773-2010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

5130 N US Highway 89
Flagstaff, AZ 86004-2837

Mailing address

1200 N. Beaver Street
Attn: Manged Care Contracting
Flagstaff, AZ 86001
Phone (928) 213-6543

Other names 1

  • Northern Arizona Healthcare Children's Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170801003409 AZ Part B Supplier - Clinic/Group Practice 3577473362 Receives reassigned benefits from 603 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Flagstaff, AZ; Sedona, AZ; Camp Verde, AZ; Cottonwood, AZ

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Northern Arizona Healthcare

Member organizations 11

Organizations listed as members of this organization in the National Provider Directory.

Locations

1759 E Villa Dr
Ste 313
Cottonwood, AZ 86326
Phone (928) 226-6406

199 S Candy Ln
Ste 1A
Cottonwood, AZ 86326
Phone (602) 634-5551

203 S Candy Ln
Ste 10A
Cottonwood, AZ 86326
Phone (602) 820-8094

340 S Willard St
Ste 101
Cottonwood, AZ 86326
Phone (928) 639-2015

1000 N Humphreys St
Ste 210212
Flagstaff, AZ 86001
Phone (928) 214-2621

107 E Oak Ave
Ste 102
Flagstaff, AZ 86001
Phone (520) 913-8861

107 E Oak Ave
Ste B
Flagstaff, AZ 86001
Phone (928) 773-2238

1329 N Beaver St
Flagstaff, AZ 86001
Phone (602) 753-5100

1485 N Turquoise Dr
Ste 100
Flagstaff, AZ 86001
Phone (480) 596-1686

1895 N Jasper Dr
Ste 2
Flagstaff, AZ 86001
Phone (928) 773-2332

1895 N Jasper Dr
Ste 3
Flagstaff, AZ 86001
Phone (928) 213-6385

5130 N US Highway 89
Flagstaff, AZ 86004
Phone (928) 773-2054

Practitioners & affiliated clinicians

Practitioners 504

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 504

NPI Registry JSON

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1235732702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N. BEAVER STREET",
            "address_2": "ATTN: MANGED CARE CONTRACTING",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86001",
            "telephone_number": "928-213-6543",
            "fax_number": "928-214-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 N US HIGHWAY 89",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860042837",
            "telephone_number": "928-773-2054",
            "fax_number": "928-773-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ARIZONA HEALTHCARE CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHERN ARIZONA HEALTHCARE CORPORATION",
        "enumeration_date": "2020-11-18",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "COFIELD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "928-773-2010"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Arizona Healthcare Children's Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.