NPIMap

Organization Active NPI

Goodwill of Northern Arizona

  • Voluntary or Charitable Agency
  • Kingman, AZ
National Provider Identifier
1477836880
Registry record updated Nov 20, 2015
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
2369 Airway Avenue
Kingman, AZ 86401
Phone
(928) 526-9188
Fax
(928) 526-9240
NPI assigned
Sep 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Authorized official

Name
Liz McGinlay, BS ED GCDF
Title
VP Mission Services
Phone
(928) 526-9188

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X AZ Primary
Exclusive Provider Organization 302F00000X

Addresses

Primary practice location

2369 Airway Avenue
Kingman, AZ 86401

Mailing address

4308 E Rte 66
Flagstaff, AZ 86004
Phone (928) 526-9188

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.

Locations

2369 Airway Ave
Kingman, AZ 86409
Phone (928) 526-9188

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1477836880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 E RTE 66",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86004",
            "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": "2369 AIRWAY AVENUE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "86401",
            "telephone_number": "928-526-9188",
            "fax_number": "928-526-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL OF NORTHERN ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "MCGINLAY",
        "authorized_official_first_name": "LIZ",
        "authorized_official_title_or_position": "VP MISSION SERVICES",
        "authorized_official_telephone_number": "928-526-9188",
        "authorized_official_credential": "BS ED GCDF"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "AZ",
            "license": null,
            "primary": true
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.