Az Bd Of Regents For On Behalf Of Northern Az University

LBN: Az Bd Of Regents For On Behalf Of Northern Az University
Az Bd Of Regents For On Behalf Of Northern Az University is an health care organization with primary practice located at 824 S San Francisco St Bldg 25 Northern Arizona University Campus, Flagstaff AZ 86011-0001. The organization recently has 5 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Radiology, Ambulatory Health Care Facilities / Student Health, Laboratories / Clinical Medical Laboratory, Suppliers / Community/Retail Pharmacy. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Az Bd Of Regents For On Behalf Of Northern Az University can be contacted via phone (928) 523-6343, or through Haeger, John D via phone (928) 523-6343.

Contact Information

Primary practice address
824 S San Francisco St Bldg 25 Northern Arizona University Campus Flagstaff AZ 86011-0001
Phone: (928) 523-6343
Fax: (928) 523-5730
Website:
Map and Directions
Authorized official contact:
Name: Haeger, John D PHD LCSW LCAS RN
Phone: (928) 523-6343

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X OTC5149 Arizona
Ambulatory Health Care Facilities / Radiology 261QR0200X 3E115 Arizona
Ambulatory Health Care Facilities / Student Health 261QS1000X
Laboratories / Clinical Medical Laboratory 291U00000X 03D0057902 Arizona
Suppliers / Community/Retail Pharmacy 3336C0003X Y005336 Arizona

Profile Details

NPI number 1891727863
LBN Legal business name Az Bd Of Regents For On Behalf Of Northern Az University
DBA Doing business as
Authorized official Haeger, John D PHD LCSW LCAS RN
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2006
Last updated Aug 15th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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