GOODWILL OF NORTHERN ARIZONA (NPI# 1053694448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053694448 |
| Entity Type | Organization |
| Organization Name | GOODWILL OF NORTHERN ARIZONA |
| Practice Address |
1990 Mcculloch Blvd North Lake Havasu City AZ 86403 |
| Mailing Address |
4308 E. Route 66 Flagstaff AZ 86004 |
| Practice Telephone | 9285269188 |
| Practice Fax Number | 9285269240 |
| Mailing Telephone | 9285269188 |
| Mailing Fax Number | 9285269274 |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2016-05-25 |
| Authorized Official Name | LIZ MCGINLAY (VP MISSION SERVICES) |
| Authorized Official Telephone | 9285269188 |
| Authorized Official Credential | B.S. ED. GCDF |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477836880 | Goodwill of Northern Arizona | Exclusive Provider Organization | 2369 Airway Avenue, Kingman, AZ 86401 | 2011-09-21 |
| 1104067008 | Goodwill of Northern Arizona | Voluntary or Charitable | 2225 N Steves Blvd, Flagstaff, AZ 86004-6115 | 2009-03-23 |
| Street Address |
1990 MCCULLOCH BLVD NORTH |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
| 1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
| 1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1114200664 | House On The Riviera Assisted Living | Assisted Living Facility | 190 Riviera Dr., Lake Havasu City, AZ 86403 | 2011-09-21 |
| Find all providers in zip 86403 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336594951 | Milemarkers Therapy | Exclusive Provider Organization | 1515 Lake Havasu Ave N, Lake Havasu City, AZ 86404-1177 | 2016-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497299101 | Lifestyles | Exclusive Provider Organization | 4385 E Wild Elk Trl, Flagstaff, AZ 86004-7921 | 2016-12-14 |
| 1356794150 | David Ryan Schaner | Exclusive Provider Organization | 12533 W Coldwater Springs Blvd, Avondale, AZ 85323-8320 | 2016-07-15 |
| 1528415650 | Nazcare, Inc. | Exclusive Provider Organization | 8200 E. Jacque Dr., Prescott Valley, AZ 86314 | 2016-05-18 |
| 1508228701 | Sfc Shane | Exclusive Provider Organization | 460 E Osage Ave, 1, Apache Junction, AZ 85119-3748 | 2016-03-25 |
| 1568845592 | Desert Journey, LLC | Exclusive Provider Organization | 904 E Prescott Pl, Chandler, AZ 85249-5131 | 2015-07-08 |
| 1386049419 | Linda L Austin, Md PC | Exclusive Provider Organization | 1301 E Mcdowell Rd Ste 103, Phoenix, AZ 85006-2605 | 2014-10-31 |
| 1720480940 | Above and Beyond Care Providers | Exclusive Provider Organization | 2136 E. Bowker St, Phoenix, AZ 85040 | 2014-09-18 |
| 1578979118 | White Mountain Surgical Specialist | Exclusive Provider Organization | 2650 E Show Low Lake Rd Ste 2, Show Low, AZ 85901-7955 | 2014-07-03 |
| 1023441987 | New Life Care Center Int | Exclusive Provider Organization | 650 S Country Club Dr Apt 125, Mesa, AZ 85210-2341 | 2013-08-14 |
| 1902246291 | Steven R Holt Od Pllc | Exclusive Provider Organization | 15341 W Waddell Rd Ste 106, Surprise, AZ 85379-5169 | 2013-07-01 |
| Find all providers with the same taxonomy | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.