FOUR PEAKS HEALTH CARE ASSOCIATES PLLC
NPI 1720450232
Clinic/Center - Primary Care in Flagstaff, AZ

Active since October 22, 2015CLIA 03D2106068 · Waiver
1515 E CEDAR AVE STE C-1, FLAGSTAFF, AZ 86004(928) 773-9714(877) 461-0613 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2023, May 13, 2016 (2 updates tracked since 2016).

About Four Peaks Health Care Associates Pllc NPPES

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

FOUR PEAKS HEALTH CARE ASSOCIATES PLLC (NPI 1720450232) is a healthcare organization registered as a primary care in Flagstaff, Arizona and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through December 8, 2027, maintains a secondary practice location in Santa Rosa, and lists Theresa Dowell, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1720450232
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameFOUR PEAKS HEALTH CARE ASSOCIATES PLLC
Location Address1515 E CEDAR AVE STE C-1Flagstaff, AZ 86004-1637
Mailing Address906 W Parker DrFlagstaff, AZ 86005-8517
Fax(877) 461-0613
Organization SubpartNo
Authorized OfficialTheresa DowellMedical Director · (928) 773-9714
Enumeration DateOctober 22, 2015
Last NPPES UpdateJuly 25, 20232 updates tracked since enumeration
NPPES CertifiedJuly 25, 2023
NPI 1720450232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1515 E CEDAR AVE STE C-1, Flagstaff, AZ 86004

Secondary Practice Location 1

Location 12841 Cleveland AveSanta Rosa, CA 95403-6802 · Phone (928) 773-9714 ext. 111 · Fax (877) 461-0613

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 03D2106068

Four Peaks Healthcare Associates, PLLC · Flagstaff, AZ
Active · expires Dec 8, 2027
CLIA Number03D2106068
Laboratory TypePractitioner Other
Certificate Effective DateDecember 9, 2025
Certificate Expiration DateDecember 8, 2027
Laboratory DirectorTheresa G. Dowell
Laboratory Phone(928) 773-9714
Laboratory LocationFour Peaks Healthcare Associates, PLLC1515 E Cedar Ave, Suite C1, Flagstaff, AZ 86004
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only 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.

Nurse Practitioner (Family)
1515 E CEDAR AVE STE C-1
FLAGSTAFF, AZ 86004
Nurse Practitioner (Family)
1515 E CEDAR AVE STE C-1
FLAGSTAFF, AZ 86004
Nurse Practitioner (Family)
1515 E CEDAR AVE STE C-1
FLAGSTAFF, AZ 86004
Nurse Practitioner (Family)
1515 E CEDAR AVE STE C-1
FLAGSTAFF, AZ 86004

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 Four Peaks Health Care Associates PLLC's NPI number?

The NPI number for Four Peaks Health Care Associates PLLC is 1720450232. It was assigned to this organization in the NPPES registry on October 22, 2015.

Where is Four Peaks Health Care Associates PLLC located?

Four Peaks Health Care Associates PLLC is located at 1515 E Cedar Ave Ste C-1, Flagstaff, AZ 86004. The listed phone number is (928) 773-9714.

What is Four Peaks Health Care Associates PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Four Peaks Health Care Associates PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2106068) is associated with this NPI, valid through December 8, 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 Four Peaks Health Care Associates PLLC was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.