Victim Witness Services for Coconino County

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

VICTIM WITNESS SERVICES FOR COCONINO COUNTY

Doing business as

Victim Witness Services for Northern Arizona

Practice address

201 E Birch Ave Ste 4
Flagstaff, AZ 86001-5215

Phone

(928) 856-7676

NPI assigned

Oct 30, 2024

Organization subpart

No

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

Authorized official

Name

Jennifer Runge

Title

Executive Director

Phone

(928) 856-7676

Specialties & licenses 1

Addresses

Other names 1

• Victim Witness Services for Northern Arizona Doing business as

Locations

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1871315838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E BIRCH AVE STE 4",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860015215",
            "telephone_number": "928-856-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E BIRCH AVE STE 4",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860015215",
            "telephone_number": "928-856-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTIM WITNESS SERVICES FOR COCONINO COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "RUNGE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "928-856-7676"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victim Witness Services for Northern Arizona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Health Worker in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Community Health Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.