Goodwill Of Northern Arizona

LBN: Goodwill Of Northern Arizona
Goodwill Of Northern Arizona is an health care organization with primary practice located at 2225 N Steves Blvd , Flagstaff AZ 86004-6115. The organization recently has only one registered license in Agencies / Voluntary or Charitable, which is considered as the primary health care specialty. Goodwill Of Northern Arizona can be contacted via phone (928) 526-9188, or through Hirsch, David via phone (928) 526-9188.

Contact Information

Primary practice address
2225 N Steves Blvd Flagstaff AZ 86004-6115
Phone: (928) 526-9188
Fax: (928) 526-9240
Website:
Map and Directions
Authorized official contact:
Name: Hirsch, David
Phone: (928) 526-9188

Health care specialties

SpecialtyCodeLicense #State
Agencies / Voluntary or Charitable 251V00000X

Profile Details

NPI number 1104067008
LBN Legal business name Goodwill Of Northern Arizona
DBA Doing business as
Authorized official Hirsch, David
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2009
Last updated Mar 23rd, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104067008 NPPES
Arizona Other 019522 AHCCCS

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