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SACRED PEAKS HEALTH CENTER
NPI 1184045916
Durable Medical Equipment & Medical Supplies in Flagstaff, AZ

Active since December 20, 2013CLIA 03D1105785 · Microscopy
6300 N HIGHWAY 89, FLAGSTAFF, AZ 86004(928) 863-7333(928) 525-0047 Get Directions Write a Review

NPPES record last updated: September 10, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sacred Peaks Health Center NPPES

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

SACRED PEAKS HEALTH CENTER (NPI 1184045916) is a healthcare organization registered as a durable medical equipment & medical supplies in Flagstaff, Arizona and active in the NPI registry since December 2013. The organization holds a CLIA Microscopy certificate valid through September 27, 2027 and lists Lynette Bonar, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1184045916
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSACRED PEAKS HEALTH CENTER DME
Location Address6300 N HIGHWAY 89Flagstaff, AZ 86004
Mailing AddressPo Box 600, 167 North Main StreetTuba City, AZ 86045-0600 · (928) 283-2781 · Fax (928) 283-2677
Phone(928) 863-7333
Fax(928) 525-0047
Organization SubpartYesParent: Tuba City Regional Health Care Corporation
Authorized OfficialLynette BonarChief Executive Officer · (928) 283-2944
Enumeration DateDecember 20, 2013
Last NPPES UpdateSeptember 10, 2019
✔ NPI 1184045916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
6300 N HIGHWAY 89, Flagstaff, AZ 86004
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Other Names 1

Doing Business AsSacred Peaks Health Center

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 for Provider-Performed Microscopy Procedures (PPMP) 03D1105785

Sacred Peaks Health Center · Flagstaff, AZ
Active · expires Sep 27, 2027
CLIA Number03D1105785
Laboratory TypePhysician Office
Certificate Effective DateSeptember 28, 2025
Certificate Expiration DateSeptember 27, 2027
Laboratory DirectorMyles Stone
Laboratory Phone(928) 283-2027
Laboratory LocationSacred Peaks Health Center6300 N Highway 89, Flagstaff, AZ 86004
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

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

TUBA CITY REGIONAL HEALTH CARE CORPORATION
Dentist (General Practice)
6300 N HIGHWAY 89
FLAGSTAFF, AZ 86004
Coconino County (928) 863-7333
TUBA CITY REGIONAL HEALTH CARE CORPORATION
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
6300 N HIGHWAY 89
FLAGSTAFF, AZ 86004
Coconino County (928) 863-7331
TUBA CITY REGIONAL HEALTH CARE CORPORATION
Family Medicine
6300 N HIGHWAY 89
FLAGSTAFF, AZ 86004
Coconino County (928) 863-7333
MS. SUSAN R HOELSCHER RD
Dietitian, Registered
6300 N HIGHWAY 89
FLAGSTAFF, AZ 86004
Coconino County (928) 863-7333

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 Sacred Peaks Health Center Dme's NPI number?

The NPI number for Sacred Peaks Health Center Dme is 1184045916. It was assigned to this organization in the NPPES registry on December 20, 2013. The provider is doing business as Sacred Peaks Health Center.

Where is Sacred Peaks Health Center Dme located?

Sacred Peaks Health Center Dme is located at 6300 N Highway 89, Flagstaff, AZ 86004. The listed phone number is (928) 863-7333.

What is Sacred Peaks Health Center Dme's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Sacred Peaks Health Center Dme hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 03D1105785) is associated with this NPI, valid through September 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sacred Peaks Health Center Dme was last updated on September 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.