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

Northern Arizona Healthcare Corporation

Organization Internal Medicine Physician · NPI 1164104642

Northern Arizona Healthcare Corporation is an Internal Medicine Physician in Flagstaff, Arizona. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
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Practice location Address checks out

5130 N US Highway 89
Flagstaff, AZ 86004-2837
Phone: (928) 773-2054
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Internal Medicine Physician Taxonomy 207R00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1164104642
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNorthern Arizona Healthcare Corporation
Authorized official Robert Cofield — Chief Operating Officer · (928) 773-2010
Other names Northern Arizona Healthcare Children'S Health Center; Northern Arizona Healthcare Children'S Health Center
NPI enumeratedAugust 3, 2023
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025
Mailing address1200 N Beaver St, Attn: Managed Care Contracting, Flagstaff, AZ 86001-3118

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