AZ BD OF REGENTS FOR ON BEHALF OF NORTHERN AZ UNIVERSITY (NPI# 1891727863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891727863 |
| Entity Type | Organization |
| Organization Name | AZ BD OF REGENTS FOR ON BEHALF OF NORTHERN AZ UNIVERSITY |
| Practice Address |
824 S San Francisco St Bldg 25 Northern Arizona University Campus Flagstaff AZ 86011-0001 |
| Mailing Address |
Po Box 6033 Flagstaff AZ 86011-6033 |
| Practice Telephone | 9285236343 |
| Practice Fax Number | 9285235730 |
| Mailing Telephone | 9285236343 |
| Mailing Fax Number | 9285235730 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2011-08-15 |
| Authorized Official Name | DR. JOHN D HAEGER (PRESIDENT) |
| Authorized Official Telephone | 9285236343 |
| Authorized Official Credential | PHD LCSW LCAS RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Y005336 | AZ | Suppliers |
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
3E115 | AZ | Ambulatory Health Care Facilities |
| N | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities | ||
| N | 291U00000X | Clinical Medical Laboratory | 03D0057902 | AZ | Laboratories |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
OTC5149 | AZ | Ambulatory Health Care Facilities |
| Street Address |
824 S SAN FRANCISCO ST BLDG 25 NORTHERN ARIZONA UNIVERSITY CAMPUS |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86011-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265409643 | Sandra Lynn Smith | Family Medicine | 824 S San Francisco St, Bldg. #25 Nau, Flagstaff, AZ 86001 | 2006-03-03 |
| 1548625841 | Lisa Shows | Counselor | 824 S San Francisco St, Flagstaff, AZ 86011-6045 | 2015-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225558794 | Jeffrey B. Trudo | Specialist/Technologist | 492 East Mcconnell Drive, Flagstaff, AZ 86011 | 2017-06-26 |
| 1376911925 | Np Fromhome, LLC | Nurse Practitioner | 1016 W. University Ave, Suite 206, Flagstaff, AZ 86011 | 2015-09-11 |
| 1902274772 | Staci Mccauley | Specialist/Technologist | 912 Riordan Ranch Rd, Bldg 27a Rm 171, Flagstaff, AZ 86011 | 2015-09-09 |
| 1972118461 | Shanna Rae Begay | Student in an Organized Health Care Education/Training Program | 208 E Pine Knoll Drive Room 215 Building 66, Flagstaff, AZ 86011-0001 | 2020-09-10 |
| 1417560608 | Nicholette Congdon | Dental Hygienist | 208 E Knoles Drive, Flagstaff, AZ 86011-0001 | 2020-08-26 |
| 1447863881 | Nina Hoover | Student in an Organized Health Care Education/Training Program | 208 E Pine Knoll Drive, Flagstaff, AZ 86011-0001 | 2020-08-25 |
| 1477028314 | Northern Arizona University | Social Worker | Building 47 A South San Francisco St, Flagstaff, AZ 86011-0001 | 2018-10-08 |
| 1003315110 | Tarang Kumar Jain | Physical Therapist | 208 Pine Knoll Dr Bldg 66, Flagstaff, AZ 86011-0001 | 2018-02-03 |
| 1629581814 | Northern Arizona University | Speech-Language Pathologist | 912 Riordan Rd Bldg 27 A, Flagstaff, AZ 86011-0001 | 2017-11-09 |
| 1659519270 | Kathleen Jodell Ganley | Physical Therapist | 208 Pine Knoll Dr Bldg 66 Rm 103, Flagstaff, AZ 86011-0001 | 2009-02-04 |
| Find all providers in zip 86011 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720450232 | Four Peaks Health Care Associates Pllc | Clinic/Center | 930 N Switzer Canyon Dr Ste 102b, Flagstaff, AZ 86001-4834 | 2015-10-22 |
| 1811065600 | Guidance Center Inc | Clinic/Center | 2695 E Industrial Dr, Flagstaff, AZ 86004 | 2006-12-01 |
| 1053326751 | Native Americans for Community Action, Inc | Clinic/Center | 1500 E Cedar Ave, Ste 26, Flagstaff, AZ 86004-1642 | 2006-07-30 |
| 1679563290 | Guidance Center Inc | Clinic/Center | 2187 N Vickey St, Flagstaff, AZ 86004-6106 | 2005-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471970 | Pulse Healthcare Solution Pllc | Clinic/Center | 1991 E Lindrick Dr, Gilbert, AZ 85298-7406 | 2020-09-12 |
| 1386269728 | Blu Advocate Primary Care LLC | Clinic/Center | 13029 W Vista Paseo Dr, Litchfield Park, AZ 85340-5572 | 2020-06-11 |
| 1114541752 | Allied Medical Associates Plc | Clinic/Center | 7525 E Broadway Rd Ste 9, Mesa, AZ 85208-1156 | 2020-05-29 |
| 1679196372 | Total Orthopedics, LLC | Clinic/Center | 4701 N 24th St Ste A1, Phoenix, AZ 85016-9145 | 2020-05-28 |
| 1154941763 | Queen Creek Naturopathic Pllc | Clinic/Center | 21820 S Ellsworth Rd # 101, Queen Creek, AZ 85142-9485 | 2020-04-23 |
| 1043830623 | Fhmc Clinic LLC | Clinic/Center | 9700 N Saguaro Blvd Suite 100, Fountain Hills, AZ 85268-6241 | 2020-04-23 |
| 1952934218 | Thrive Internal Medicine LLC | Clinic/Center | 8102 E Mcdowell Rd Ste 1a, Scottsdale, AZ 85257-3815 | 2020-02-14 |
| 1730712100 | Best Life Family Medicine Pllc | Clinic/Center | 3719 W Anthem Way Ste 102, Anthem, AZ 85086-0477 | 2020-02-13 |
| 1447881933 | Milagros Family Healthcare LLC | Clinic/Center | 11900 N La Canada Dr Unit 68222, Tucson, AZ 85737-4010 | 2020-02-03 |
| 1891334728 | Globaltranz Family Health Clin | Clinic/Center | 7350 N Dobson Rd # 130, Scottsdale, AZ 85256-2710 | 2019-12-23 |
| Find all providers with the same taxonomy | ||||
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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.