NPIMap

Organization Active NPI

Goodwill Industries -Cottonwood

  • Exclusive Provider Organization
  • Cottonwood, AZ
National Provider Identifier
1497038871
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
GOODWILL INDUSTRIES -COTTONWOOD
Practice address
1500 E Mingus Ave
Cottonwood, AZ 86326-3849
Phone
(928) 526-9188
NPI assigned
Sep 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Authorized official

Name
Jordan Hoffman
Title
Director
Phone
(928) 526-9188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

1500 E Mingus Ave
Cottonwood, AZ 86326-3849

Mailing address

PO Box 2278
Flagstaff, AZ 86003-2278
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

1500 E Mingus Ave
Cottonwood, AZ 86326
Phone (928) 526-9188

NPI Registry JSON

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1497038871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2278",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860032278",
            "telephone_number": "928-526-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E MINGUS AVE",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863263849",
            "telephone_number": "928-526-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES -COTTONWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "928-526-9188"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.