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NORTHERN ARIZONA HEALTHCARE CORPORATION
NPI 1164104642
Clinic/Center - Multi-Specialty in Flagstaff, AZ

Active since August 03, 2023CLIA 03D2190957 · Waiver
5130 N US HIGHWAY 89, FLAGSTAFF, AZ 86004(928) 773-2054 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northern Arizona Healthcare Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHERN ARIZONA HEALTHCARE CORPORATION (NPI 1164104642), doing business as Northern Arizona Healthcare Children's Health Center, is a healthcare organization registered as a multi-specialty in Flagstaff, Arizona and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through August 19, 2026 and lists Robert Cofield, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1164104642
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameNORTHERN ARIZONA HEALTHCARE CORPORATION
Location Address5130 N US HIGHWAY 89Flagstaff, AZ 86004-2837
Mailing Address1200 N Beaver St, Attn: Managed Care ContractingFlagstaff, AZ 86001-3118 · (928) 213-6543
Phone(928) 773-2054
Organization SubpartYes
Authorized OfficialRobert CofieldChief Operating Officer · (928) 773-2010
Enumeration DateAugust 3, 2023
Last NPPES UpdateApril 14, 2025
NPPES CertifiedApril 14, 2025
✔ NPI 1164104642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedClinic/CenterTaxonomy 261Q00000X
5130 N US HIGHWAY 89, Flagstaff, AZ 86004
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Other Names 1

Doing Business AsNorthern Arizona Healthcare Children's Health Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2190957

Northern Arizona Healthcare Children's Health Center · Flagstaff, AZ
Active · expires Aug 19, 2026
CLIA Number03D2190957
Laboratory TypeCommunity Clinic
Certificate Effective DateAugust 20, 2024
Certificate Expiration DateAugust 19, 2026
Laboratory DirectorBrandon H. Abbott
Laboratory Phone(928) 773-2054
Laboratory LocationNorthern Arizona Healthcare Children's Health Center5130 N Highway 89, Flagstaff, AZ 86004
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADELYNN RAE WEATHERS
Occupational Therapist
5130 N US HIGHWAY 89
FLAGSTAFF, AZ 86004
Coconino County (928) 773-2054
JESSICA MARRELLO ALLEN PT, DPT
Physical Therapist
5130 N US HIGHWAY 89
FLAGSTAFF, AZ 86004
Coconino County (928) 773-2054
HANNAH JANE HERRMANN
Speech-Language Pathologist
5130 N US HIGHWAY 89
FLAGSTAFF, AZ 86004
Coconino County (806) 290-8605
HOLLY OFFERMAN MS, CCC-SLP
Speech-Language Pathologist
5130 N US HIGHWAY 89
FLAGSTAFF, AZ 86004
Coconino County (928) 773-2054
NORTHERN ARIZONA HEALTHCARE CORPORATION
Clinic/Center (Multi-Specialty)
5130 N US HIGHWAY 89
FLAGSTAFF, AZ 86004
Coconino County (928) 773-2054
FARREN MCMAHON PT
Physical Therapist
5130 N US HIGHWAY 89
FLAGSTAFF, AZ 86004
Coconino County (928) 773-2054
JILLIAN ROSE PEART RDN
Dietitian, Registered
5130 N US HIGHWAY 89
FLAGSTAFF, AZ 86004
Coconino County (928) 773-2054
CASSADI DUNCAN
Speech-Language Pathologist
5130 N US HIGHWAY 89
FLAGSTAFF, AZ 86004
Coconino County (928) 773-2054

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northern Arizona Healthcare Corporation's NPI number?

The NPI number for Northern Arizona Healthcare Corporation is 1164104642. It was assigned to this organization in the NPPES registry on August 3, 2023. The provider is doing business as Northern Arizona Healthcare Children's Health Center.

Where is Northern Arizona Healthcare Corporation located?

Northern Arizona Healthcare Corporation is located at 5130 N Us Highway 89, Flagstaff, AZ 86004. The listed phone number is (928) 773-2054.

What is Northern Arizona Healthcare Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Northern Arizona Healthcare Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2190957) is associated with this NPI, valid through August 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northern Arizona Healthcare Corporation was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.