Organization Active NPI

Coconino County Health Department

  • Public Health or Welfare Agency
  • Flagstaff, AZ
National Provider Identifier
1629379136
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COCONINO COUNTY HEALTH DEPARTMENT
Practice address
2625 N King St
Flagstaff, AZ 86004-1884
Phone
(928) 679-7222
NPI assigned
Nov 15, 2010
Organization subpart
Yes
Parent organization
COCCONINO COUNTY HEALTH DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Authorized official

Name
Kimbal Babcock
Title
Manager
Phone
(928) 679-7222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

2625 N King St
Flagstaff, AZ 86004-1884

Mailing address

2625 N King St
Flagstaff, AZ 86004-1884
Phone (928) 679-7222

Other identifiers 1

IdentifierTypeStateIssuer
910431MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Coconino County HHS5 organizations share this tax ID, including this one
Part of
Coconino County HHS

Other organizations with this tax ID 4

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": "1289779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1629379136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 N KING ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041884",
            "telephone_number": "928-679-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 N KING ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041884",
            "telephone_number": "928-679-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCONINO COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COCCONINO COUNTY HEALTH DEPARTMENT",
        "enumeration_date": "2010-11-15",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "BABCOCK",
        "authorized_official_first_name": "KIMBAL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "928-679-7222"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "910431",
            "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 Nov 15, 2010; 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.