FLAGSTAFF MEDICAL CENTER (NPI# 1447499546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447499546 |
| Entity Type | Organization |
| Organization Name | FLAGSTAFF MEDICAL CENTER |
| Practice Address |
1200 N Beaver St Flagstaff AZ 86001-3118 |
| Mailing Address |
1200 N Beaver St Attn: Managed Care Contracting Flagstaff AZ 86001-3118 |
| Practice Telephone | 9287793366 |
| Practice Fax Number | 9282143637 |
| Mailing Telephone | 9282136543 |
| Mailing Fax Number | 9282143613 |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2019-04-11 |
| Authorized Official Name | RONALD F HAASE (NAH CHIEF SYSTEMS OFFICER) |
| Authorized Official Telephone | 9287732059 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHERN ARIZONA HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | H0169 | AZ | Hospitals |
| Y | 282N00000X | General Acute Care Hospital | AZ | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BCBS ACUTE FMC | AZ0000190 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629220009 | Flagstaff Medical Center | Internal Medicine | 1215 N Beaver St Ste 203, Flagstaff, AZ 86001-3126 | 2008-10-16 |
| 1780635078 | Flagstaff Medical Center | General Acute Care Hospital | 1200 N. Beaver St., Flagstaff, AZ 86001-3118 | 2006-05-12 |
| 1003194598 | Flagstaff Medical Center | Surgery | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2011-08-01 |
| 1972814259 | Flagstaff Medical Center | Neurological Surgery | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2010-07-01 |
| 1982871067 | Flagstaff Medical Center | Internal Medicine | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-05-08 |
| 1689847717 | Flagstaff Medical Center | Family Medicine | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-04-09 |
| 1316119589 | Flagstaff Medical Center | Internal Medicine | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-03-28 |
| 1962674135 | Flagstaff Medical Center | Surgery | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-03-28 |
| 1407028673 | Flagstaff Medical Center | Internal Medicine | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-03-28 |
| 1346419009 | Flagstaff Medical Center | Durable Medical Equipment & Medical Supplies | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-02-27 |
| Street Address |
1200 N BEAVER ST |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-3118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346241189 | Alvin B Elisco | Internal Medicine | 1200 N Beaver St, Fmc Hospitalists, Flagstaff, AZ 86001-3118 | 2005-08-02 |
| 1285240515 | Amika Noel | Nurse Anesthetist, Certified Registered | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-09-22 |
| 1669084190 | Margaret Grace Mcgough | Registered Nurse | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-08-17 |
| 1942818398 | Regan Rowson | Registered Nurse | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-07-21 |
| 1871118984 | Nancy Gloria Flores | Audiologist | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-06-15 |
| 1679100705 | Kristy Anderson | Occupational Therapist | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-03-26 |
| 1164058087 | Bryan J Ebeling | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-03-23 |
| 1447808407 | Bryce Aldworth Randall | Registered Nurse | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2019-09-03 |
| 1851952162 | Samuel Small | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2019-06-26 |
| 1235797283 | Rebecca R Boger | Dietitian, Registered | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2019-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780635078 | Flagstaff Medical Center | General Acute Care Hospital | 1200 N. Beaver St., Flagstaff, AZ 86001-3118 | 2006-05-12 |
| 1760696579 | Flagstaff Medical Center | General Acute Care Hospital | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2007-05-10 |
| 1679787485 | Flagstaff Medical Center | General Acute Care Hospital | 1200 N Beaver St, Attn. Payer Credentialing, Flagstaff, AZ 86001-3118 | 2007-05-10 |
| 1356555445 | Flagstaff Medical Center | General Acute Care Hospital | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2007-05-09 |
| 1629281449 | Flagstaff Medical Center | General Acute Care Hospital | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598121 | Smsj Tucson Holdings LLC | General Acute Care Hospital | 7401 S Wilmot Rd, Tucson, AZ 85756 | 2020-11-03 |
| 1609496397 | Fhmc LLC | General Acute Care Hospital | 9700 N Saguaro Blvd, Fountain Hills, AZ 85268-6241 | 2020-04-22 |
| 1972139004 | Banner Health | General Acute Care Hospital | 1405 S Alma School Rd, Chandler, AZ 85286 | 2020-03-20 |
| 1851927669 | Northwest Sahuarita Hospital LLC | General Acute Care Hospital | 16260 S Rancho Sahuarita Blvd, Sahuarita, AZ 85629 | 2020-03-13 |
| 1265063010 | Honorhealth | General Acute Care Hospital | 33400 N 32nd Ave, Phoenix, AZ 85085-8876 | 2020-01-30 |
| 1447898622 | Vhs of Arrowhead, Inc. | General Acute Care Hospital | 16815 W. Bell Rd, Surprise, AZ 85374 | 2019-12-18 |
| 1699322925 | Valley Hospitalists Group Pllc | General Acute Care Hospital | 6227 E Juniper Ave, Scottsdale, AZ 85254-1314 | 2019-08-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1487218509 | Smsj Tucson Holdings, LLC | General Acute Care Hospital | 5620 W Cortaro Farms Rd, Tucson, AZ 85742-9559 | 2019-04-24 |
| 1518409218 | Rachel Vaughn | General Acute Care Hospital | 2623 N 108th Dr, Avondale, AZ 85392-5806 | 2016-11-11 |
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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.