Active NPI
Northern Arizona Healthcare Corporation
- Family Medicine Physician
- Flagstaff, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Ophthalmology Physician | 207W00000X | |||
| Orthopaedic Surgery Physician | 207X00000X | |||
| Anatomic Pathology Physician | 207ZP0101X | |||
| Pediatrics Physician | 208000000X | |||
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | |||
| Psychiatry Physician | 2084P0800X | |||
| Surgery Physician | 208600000X | |||
| Vascular Surgery Physician | 2086S0129X | |||
| Urology Physician | 208800000X | |||
| Hospitalist Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Multi-Specialty Clinic/Center
- Flagstaff, AZ
- NPI 1235732702
O20170801003409
National Provider Directory
National Provider DirectoryLocations
1298 W Finnie Flat Rd
#101
Camp Verde, AZ 86322
Phone (928) 649-7970
450 S Willard St
Cottonwood, AZ 86326
Phone (928) 649-7991
340 S Willard St
Ste 201
Cottonwood, AZ 86326
Phone (928) 634-5551
340 S Willard St
Cottonwood, AZ 86326
Phone (928) 634-5551
1215 N Beaver St
Ste 20
Flagstaff, AZ 86001
107 E Oak Ave
Ste 102
Flagstaff, AZ 86001
Phone (520) 913-8861
2000 S Thompson St
Ste B
Flagstaff, AZ 86001
1000 N Humphreys St
Flagstaff, AZ 86001
Phone (928) 214-3537
2000 S Thompson St
Ste B201
Flagstaff, AZ 86001
7810 N US Highway 89
Ste 270
Flagstaff, AZ 86004
7810 N US Highway 89
#270280
Flagstaff, AZ 86004
107 E Oak Ave
Ste 201
Flagstaff, AZ 86001
Phone (928) 380-5689
1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249
107 E Oak Ave
Ste 101201
Flagstaff, AZ 86001
Phone (800) 656-7880
61 Bell Rock Plz
Sedona, AZ 86351
Phone (928) 204-4999
61 Bell Rock Plz
Ste A
Sedona, AZ 86351
Phone (928) 204-4999
1119 Highway 77
Ste C
Bridgeton, NJ 08302
Phone (856) 453-1555
1226 Tilton Rd
Northfield, NJ 08225
Phone (609) 383-2400
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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Verde Valley Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Feb 1, 1995 Mar 13, 1995 |
| Flagstaff Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Mar 13, 1996 Mar 13, 1995 |
| Flagstaff Medical Center | Hospital | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Mar 13, 1995 Mar 13, 1995 |
| The Peaks Health & Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (50%) Operational/Managerial Control (50%) |
Dec 24, 1997 Dec 24, 1997 |
| Northern Arizona Home Health | Home health agency | 5% Or Greater Direct Ownership Interest (25%) | Apr 1, 2016 |
| Northern Arizona Home Health | Home health agency | 5% Or Greater Direct Ownership Interest (25%) | Apr 1, 2016 |
| Northern Arizona Hospice | 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.
-
- Air Ambulance
- Flagstaff, AZ
- NPI 1427234111
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Land Ambulance
- Flagstaff, AZ
- NPI 1518143205
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Psychiatric Hospital Unit
- Flagstaff, AZ
- NPI 1649370875
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- General Acute Care Hospital
- Flagstaff, AZ
- NPI 1780635078
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Home Health Agency
- Cottonwood, AZ
- NPI 1164882619
5% Or Greater Direct Ownership Interest
-
- Home Health Agency
- Flagstaff, AZ
- NPI 1174983621
5% Or Greater Direct Ownership Interest
-
- Community Based Hospice Care Agency
- Cottonwood, AZ
- NPI 1356702104
5% Or Greater Direct Ownership Interest
-
- Skilled Nursing Facility
- Flagstaff, AZ
- NPI 1679515449
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- General Acute Care Hospital
- Cottonwood, AZ
- NPI 1346291648
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- General Acute Care Hospital
- Sedona, AZ
- NPI 1538608716
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 669
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1528350139
AZ, Family Medicine
-
- Interventional Cardiology Physician
- Yuma, AZ
- NPI 1972779643
AZ, Internal Medicine
-
- Critical Care Medicine (Internal Medicine) Physician
- Flagstaff, AZ
- NPI 1801264353
AZ, Internal Medicine
-
- Addiction Medicine (Internal Medicine) Physician
- Cottonwood, AZ
- NPI 1144849993
AZ, Internal Medicine
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
- Northern Arizona Healthcare Corporation
- Northern Arizona Healthcare Corporation
- Northern Arizona Healthcare Corporation
- Northern Arizona Healthcare Corporation
- Northern Arizona Healthcare Corporation
- Northern Arizona Healthcare Corporation
- Northern Arizona Healthcare Corporation
- Northern Arizona Healthcare Orthopedic Surgery Center, LLC
- Northern Arizona Kidney Care and Hypertension Center, PC
- Northern Arizona Medical Specialists PLLC
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; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.