NORTHERN ARIZONA HEALTHCARE CORPORATION
NPI 1861176166
Internal Medicine - Interventional Cardiology in Cottonwood, AZ

Active since June 15, 2023CLIA 03D2129104 · Waiver
269 S CANDY LN STE 2C, COTTONWOOD, AZ 86326(928) 634-1331 Get Directions Write a Review

NPPES record last updated: April 16, 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 1861176166), doing business as Northern Arizona Healthcare Medical Group Cardiology-cottonwood, is a healthcare organization registered as an interventional cardiology in Cottonwood, Arizona and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through April 11, 2027 and lists Robert Cofield, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1861176166
Entity TypeOrganization
Primary Taxonomy207RI0011X
Legal Business NameNORTHERN ARIZONA HEALTHCARE CORPORATION
Location Address269 S CANDY LN STE 2CCottonwood, AZ 86326-4158
Mailing Address1200 N Beaver StFlagstaff, AZ 86001-3118 · (928) 213-6527
Organization SubpartYes
Authorized OfficialRobert CofieldChief Operating Officer · (928) 773-2010
Enumeration DateJune 15, 2023
Last NPPES UpdateApril 16, 2025
NPPES CertifiedApril 16, 2025
NPI 1861176166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
269 S CANDY LN STE 2C, Cottonwood, AZ 86326

Other Names 1

Doing Business AsNorthern Arizona Healthcare Medical Group Cardiology-cottonwood

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 03D2129104

Northern Arizona Healthcare Medical Group- Cardiology Cottonwood · Cottonwood, AZ
Active · expires Apr 11, 2027
CLIA Number03D2129104
Laboratory TypePhysician Office
Certificate Effective DateApril 12, 2025
Certificate Expiration DateApril 11, 2027
Laboratory DirectorSanjiv G. Faidu
Laboratory Phone(928) 634-1331
Laboratory LocationNorthern Arizona Healthcare Medical Group- Cardiology Cottonwood269 S Candy Lane Ste 2C, Cottonwood, AZ 86326
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1861176166. It was assigned to this organization in the NPPES registry on June 15, 2023. The provider is doing business as Northern Arizona Healthcare Medical Group Cardiology-Cottonwood.

Where is Northern Arizona Healthcare Corporation located?

Northern Arizona Healthcare Corporation is located at 269 S Candy Ln Ste 2C, Cottonwood, AZ 86326. The listed phone number is (928) 634-1331.

What is Northern Arizona Healthcare Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Does Northern Arizona Healthcare Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2129104) is associated with this NPI, valid through April 11, 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 Northern Arizona Healthcare Corporation was last updated on April 16, 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.