NPIMap

Organization Active NPI

Northern Arizona Healthcare Corporation

  • Family Medicine Physician
  • Flagstaff, AZ
National Provider Identifier
1669914552
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NORTHERN ARIZONA HEALTHCARE CORPORATION
Practice address
1200 N. Beaver Street
Attn: Payer Credentialing
Flagstaff, AZ 86001-3118
Phone
(928) 773-2546
Fax
(928) 213-6292
NPI assigned
Nov 9, 2016
Last updated
Apr 16, 2025By the provider in NPPES
Organization subpart
No

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 15

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X
Anatomic Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0101X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Behavioral Neurology & Neuropsychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084B0040X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X

Addresses

Primary practice location

1200 N. Beaver Street
Attn: Payer Credentialing
Flagstaff, AZ 86001-3118

Mailing address

1200 N. Beaver Street
Attn: Managed Care Contracting
Flagstaff, AZ 86001-3118
Phone (928) 213-6543

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
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

Member organizations 10

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

Locations

1298 W Finnie Flat Rd
Camp Verde, AZ 86322
Phone (928) 639-5509

1298 W Finnie Flat Rd
#101
Camp Verde, AZ 86322
Phone (928) 649-7970

340 S Willard St
Ste 201
Cottonwood, AZ 86326
Phone (928) 634-5551

450 S Willard St
Cottonwood, AZ 86326
Phone (928) 649-7991

1000 N Humphreys St
Flagstaff, AZ 86001
Phone (928) 214-3537

107 E Oak Ave
Ste 101201
Flagstaff, AZ 86001
Phone (800) 656-7880

107 E Oak Ave
Ste 201
Flagstaff, AZ 86001
Phone (928) 913-8800

1215 N Beaver St
Ste 20
Flagstaff, AZ 86001

1325 N Beaver St
Flagstaff, AZ 86001
Phone (928) 773-2271

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

1895 N Jasper Dr
Flagstaff, AZ 86001
Phone (928) 213-6543

1895 N Jasper Dr
Ste 1
Flagstaff, AZ 86001
Phone (928) 213-6527

2000 S Thompson St
Ste B201
Flagstaff, AZ 86001

7810 N US Highway 89
#270280
Flagstaff, AZ 86004

7810 N US Highway 89
Ste 270
Flagstaff, AZ 86004

1119 Highway 77
Ste C
Bridgeton, NJ 08302
Phone (856) 453-1555

2399 Highway 34
Bldg B
Manasquan, NJ 08736
Phone (732) 223-9729

222 Oak Ave
Ste 1
Toms River, NJ 08753
Phone (732) 349-2067

1450 E Chestnut Ave
Ste 4A
Vineland, NJ 08361
Phone (856) 794-8664

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Verde Valley Medical CenterCottonwood, AZ, CCN 030007 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 1, 1995
Mar 13, 1995
Flagstaff Medical CenterFlagstaff, AZ, CCN 030023 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Mar 13, 1996
Mar 13, 1995
Flagstaff Medical CenterFlagstaff, AZ, CCN 03S023 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Mar 13, 1995
Mar 13, 1995
The Peaks Health & RehabilitationFlagstaff, AZ, CCN 035257 Skilled nursing facility 5% Or Greater Direct Ownership Interest (50%)
Operational/Managerial Control (50%)		 Dec 24, 1997
Dec 24, 1997
Northern Arizona Home HealthCottonwood, AZ, CCN 037042 Home health agency 5% Or Greater Direct Ownership Interest (25%) Apr 1, 2016
Northern Arizona Home HealthFlagstaff, AZ, CCN 037047 Home health agency 5% Or Greater Direct Ownership Interest (25%) Apr 1, 2016
Northern Arizona HospiceCottonwood, AZ, CCN 031502 Hospice 5% Or Greater Direct Ownership Interest (25%) Apr 1, 2016

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 669

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 669

NPI Registry JSON

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1669914552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N. BEAVER STREET",
            "address_2": "ATTN: MANAGED CARE CONTRACTING",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013118",
            "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": "1200 N. BEAVER STREET",
            "address_2": "ATTN: PAYER CREDENTIALING",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013118",
            "telephone_number": "928-773-2546",
            "fax_number": "928-213-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ARIZONA HEALTHCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "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": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.