NORTHERN ARIZONA HEALTHCARE CORPORATION (NPI# 1730110925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730110925 |
| Entity Type | Organization |
| Organization Name | NORTHERN ARIZONA HEALTHCARE CORPORATION |
| Other Organization Name | NORTHERN ARIZONA HOSPICE COTTONWOOD |
| Practice Address |
203 S Candy Ln Cottonwood AZ 86326-4120 |
| Mailing Address |
1200 N Beaver St Attn: Managed Care Contracting Flagstaff AZ 86001-3118 |
| Practice Telephone | 9287732238 |
| Practice Fax Number | 9287732291 |
| Mailing Telephone | 9282136543 |
| Mailing Fax Number | 9282143613 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2019-04-11 |
| Authorized Official Name | RONALD F HAASE (NAH CHIEF SYSTEMS OFFICER) |
| Authorized Official Telephone | 9287732059 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | HSPC3009 | AZ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 345050 | 05 | |
| AZ | BCBS | AZ0204500 | 01 |
| Other Name | Type Code |
|---|---|
| Northern Arizona Hospice Cottonwood | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669914552 | Northern Arizona Healthcare Corporation | Psychiatry & Neurology | 1200 N. Beaver Street, Attn: Payer Credentialing, Flagstaff, AZ 86001-3118 | 2016-11-09 |
| 1639545007 | Northern Arizona Healthcare Corporation | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2015-08-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTHERN ARIZONA HEALTHCARE CORPORATION | 1200 N Beaver St, Flagstaff, AZ 86001-3118 |
| Street Address |
203 S CANDY LN |
| City | COTTONWOOD |
| State | AZ |
| Zip Code | 86326-4120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255322871 | Robert Gary Gagliano | Internal Medicine | 203 S Candy Ln, Suite 9a, Cottonwood, AZ 86326-4120 | 2005-11-02 |
| 1215470885 | Angie Coil Fnp Pllc | Nurse Practitioner | 203 S Candy Ln, Suite 13ab, Cottonwood, AZ 86326-4120 | 2016-11-29 |
| 1245691625 | Bella Vita Healthcare | Nurse Practitioner | 203 S Candy Ln, Suite 6ab, Cottonwood, AZ 86326-4120 | 2016-03-14 |
| 1700247509 | Angie Coil | Nurse Practitioner | 203 S Candy Ln, Bldg 13ab, Cottonwood, AZ 86326-4120 | 2016-03-08 |
| 1164882619 | Lhcg Lxxvii, LLC | Home Health | 203 S Candy Ln, Suite 5a, Cottonwood, AZ 86326-4120 | 2016-02-26 |
| 1487042420 | Angela Schilling-koons, Np, LLC | Clinic/Center | 203 S Candy Ln, Bldg 13ab, Cottonwood, AZ 86326-4120 | 2014-12-29 |
| 1144476896 | Bradshaw Mountain Diagnostic Laboratory Inc | Clinical Medical Laboratory | 203 S Candy Ln, Suite 115-b2, Cottonwood, AZ 86326-4120 | 2008-08-13 |
| 1205011798 | Joyce L. Richards, D.o. P.C. | Internal Medicine | 203 S Candy Ln, Ste 2a, Cottonwood, AZ 86326-4120 | 2008-01-03 |
| 1689867517 | Sanson Pediatrics, P.C. | Clinic/Center | 203 S Candy Ln, Suite 6b, Cottonwood, AZ 86326-4120 | 2007-08-23 |
| 1467658955 | Daniela Hutyrova | Naturopath | 203 S Candy Ln, Suite 2b, Cottonwood, AZ 86326-4120 | 2007-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679954895 | Isabelle Maisse Griffith | Pharmacist | 1100 E Highway 89a, Cottonwood, AZ 86326 | 2015-06-12 |
| 1184982266 | Northern Arizona Healthcare Provider Group, LLC | Family Medicine | 450 South Willard Street, Cottonwood, AZ 86326 | 2012-04-26 |
| 1922391663 | Ronald D. Carsrud | Hearing Instrument Specialist | 657 E Cottonwood St., Ste 6c, Cottonwood, AZ 86326 | 2011-05-26 |
| 1760712749 | Chuck Thomas Calvano | Pharmacist | 550 S Main, Cottonwood, AZ 86326 | 2010-01-13 |
| 1528231438 | Elizabeth Lightner Mccarrell | Emergency Medicine | 269 S Candy Lane, Cottonwood, AZ 86326 | 2008-04-11 |
| 1972783355 | The Wick Home for Emotional Growth and Recovery | Residential Treatment Facility, Emotionally Disturbed Children | 2102 E Fir St, Cottonwood, AZ 86326 | 2007-11-14 |
| 1750560165 | David T Sayle | Nurse Practitioner | 800 Cove Parkway, Cottonwood, AZ 86326 | 2007-11-01 |
| 1003001033 | Country Care Inc | Assisted Living Facility | 3980 E Cassie Lane, Cottonwood, AZ 86326 | 2007-09-12 |
| 1154527778 | Laurel A Mueller | Family Medicine | 51 Brian Mickelsen Pkwy, Community Health Center of Yavapai, Cottonwood, AZ 86326 | 2007-06-21 |
| 1841401700 | Bruce Alan Moseng | Chiropractor | 240 Jennifer Lane, Ste 103, Cottonwood, AZ 86326 | 2007-05-24 |
| Find all providers in zip 86326 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598304248 | Assisteo North Hospice, LLC | Hospice Care, Community Based | 203 S Candy Ln Ste 10a, Cottonwood, AZ 86326-8116 | 2019-12-29 |
| 1538320411 | Verde Valley Community Hospice, LLC | Hospice Care, Community Based | 1756 E. Villa Dr., Ste. C-17, Cottonwood, AZ 86326-4751 | 2008-06-23 |
| 1356702104 | Lhcg Lxxvii, LLC | Hospice Care, Community Based | 203 S Candy Ln Ste 2a, Cottonwood, AZ 86326-4172 | 2016-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677224 | In My Home Hospice Care | Hospice Care, Community Based | 1204 E Baseline Rd Ste 101, Tempe, AZ 85283-1447 | 2020-10-23 |
| 1295334282 | Aventus Hospice Care Inc | Hospice Care, Community Based | 1 S Church Ave # 12001253, Tucson, AZ 85701-1612 | 2020-10-20 |
| 1659970648 | Avra Hospice Care Inc | Hospice Care, Community Based | 1 S Church Ave # 12001255, Tucson, AZ 85701-1612 | 2020-10-20 |
| 1437758885 | Legacy Hospice Care LLC | Hospice Care, Community Based | 7725 N 43rd Ave Ste 611, Phoenix, AZ 85051-5770 | 2020-10-17 |
| 1396351235 | Catalina Hospice | Hospice Care, Community Based | 225 W Ajo Way, Tucson, AZ 85713-6038 | 2020-09-16 |
| 1588279673 | Centra Management Services LLC | Hospice Care, Community Based | 4530 E Shea Blvd Ste 142, Phoenix, AZ 85028-6067 | 2020-09-15 |
| 1407461643 | Kind Hearts Hospice, Inc. | Hospice Care, Community Based | 10210 N 32nd St Ste 215, Phoenix, AZ 85028-3848 | 2020-09-14 |
| 1104435379 | Nana Hope Hospice North LLC | Hospice Care, Community Based | 609 W Gurley St Ste 1, Prescott, AZ 86305-3619 | 2020-07-23 |
| 1104434141 | First Choice Hospice LLC | Hospice Care, Community Based | 1738 E Thomas Rd, Phoenix, AZ 85016-7604 | 2020-07-15 |
| 1538787122 | Nana Hope Hospice and Palliative Care LLC | Hospice Care, Community Based | 1620 N 48th St Ste 101, Phoenix, AZ 85008-7720 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | COTTONWOOD |
| Zip Code | 86326 |
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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.