Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Goodwill of Northern Arizona

Organization Exclusive Provider Organization · NPI 1053694448

Goodwill of Northern Arizona is an Exclusive Provider Organization in Lake Havasu City, Arizona. Registered with an NPI since 2011.

In the registry since
2011
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Practice location Address checks out

1990 McCulloch Blvd N
Lake Havasu City, AZ 86403
Phone: (928) 526-9188
Fax: (928) 526-9240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Exclusive Provider Organization (primary) Taxonomy 302F00000X

Record details

NPI number1053694448
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Liz McGinlay — Vp Mission Services · (928) 526-9188
NPI enumeratedSeptember 22, 2011
Last updated in NPPESMay 25, 2016
Mailing address4308 E. Route 66, Flagstaff, AZ 86004