Organization Name: | NORTHERN ARIZONA HEALTHCARE CORPORATION |
NPI Number: | 1528139169 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HOPE WADE (INTERIM CFO) |
Mailing Address: | 107 E. Oak Suite 102 Flagstaff |
State: | AZ US |
Postal Code: | 86001 |
Phone Number: | 9287732238 |
Fax Number: | 9287732291 |
NPI Enumeration Date: | 11/13/2006 |
NPI Last Update Date: | 08/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 2982 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |