COCONINO COUNTY HEALTH DEPARTMENT (NPI# 1629379136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629379136 |
Entity Type | Organization |
Organization Name | COCONINO COUNTY HEALTH DEPARTMENT |
Practice Address |
2625 N King St Flagstaff AZ 86004-1884 |
Practice Telephone | 9286797222 |
Mailing Telephone | 9286797222 |
Enumeration Date | 2010-11-15 |
Last Update Date | 2010-11-15 |
Authorized Official Name | KIMBAL BABCOCK (MANAGER) |
Authorized Official Telephone | 9286797222 |
Is Organization Subpart | Y |
Parent Organization Name | COCCONINO COUNTY HEALTH DEPARTMENT |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251K00000X | Public Health or Welfare | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 910431 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659498848 | Coconino County Health Department | Public Health or Welfare | 2625 N King St, Clinical Services, Flagstaff, AZ 86004-1884 | 2007-03-23 |
Street Address |
2625 N KING ST |
City | FLAGSTAFF |
State | AZ |
Zip Code | 86004-1884 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659498848 | Coconino County Health Department | Public Health or Welfare | 2625 N King St, Clinical Services, Flagstaff, AZ 86004-1884 | 2007-03-23 |
1154825651 | Ashley Overall | Nurse Practitioner | 2625 N King St, Flagstaff, AZ 86004 | 2018-03-20 |
1912322207 | Kathryn Meredith Irwin | Nurse Practitioner | 2625 N King St, Flagstaff, AZ 86004-1884 | 2014-02-24 |
1962529610 | Coconino County | Public Health or Welfare | 2625 N King St, Clinical Services, Flagstaff, AZ 86004-1884 | 2007-03-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598387805 | Michael Joseph Oxtoby | Counselor | 2625 N. King St., Flagstaff, AZ 86004 | 2020-05-08 |
1083264501 | Dazhoni Elizabeth Scott | Counselor | 1500 E. Cedar Avenue #26, 2110 N. East St Apt C, Flagstaff, AZ 86004 | 2019-09-17 |
1760948046 | Emily Bauerle | Social Worker | 3009 N West St, Flagstaff, AZ 86004 | 2019-02-12 |
1992295745 | Kaibab Behavioral Services, Pllc | Behavioral Analyst | 2323 E Greenlaw Lane, Suite 12a, Flagstaff, AZ 86004 | 2018-05-17 |
1083115364 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 8800 Marys Drive, Flagstaff, AZ 86004 | 2018-02-22 |
1710391081 | Janet Coleman | Hearing Instrument Specialist | 1851 E Butler Avenue, Flagstaff, AZ 86004 | 2014-06-16 |
1568703163 | Mercy Timoh | Pharmacist | 4255 E. Soliere Ave., Flagstaff, AZ 86004 | 2013-03-06 |
1053617217 | Scott Nichols | Veterinarian | 6122 Abineau Canyon Drive, Flagstaff, AZ 86004 | 2011-02-07 |
1366745218 | Karoline S. Mariano | Registered Nurse | 3480 East Route 66, Flagstaff, AZ 86004 | 2010-12-15 |
1912209719 | Payal Parekh | Pharmacist | 1500 E Cedar, Flagstaff, AZ 86004 | 2010-11-30 |
Find all providers in zip 86004 |
Taxonomy Code | 251K00000X |
Grouping | Agencies |
Classification | Public Health or Welfare |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003207226 | Summit Fire District | Public Health or Welfare | 8905 Koch Field Rd, Flagstaff, AZ 86004-3261 | 2015-02-10 |
1659498848 | Coconino County Health Department | Public Health or Welfare | 2625 N King St, Clinical Services, Flagstaff, AZ 86004-1884 | 2007-03-23 |
1962529610 | Coconino County | Public Health or Welfare | 2625 N King St, Clinical Services, Flagstaff, AZ 86004-1884 | 2007-03-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548861701 | Agape Love Community Center LLC | Public Health or Welfare | 2750 W Mcdowell Rd, Phoenix, AZ 85009-2605 | 2020-11-04 |
1508481854 | Hamoecrc, LLC | Public Health or Welfare | 4413 N 106th Ave, Phoenix, AZ 85037-5563 | 2020-06-12 |
1699307306 | Arizona Healthcare Outreach | Public Health or Welfare | 3581 W Northern Ave Ste 8, Phoenix, AZ 85051-9404 | 2020-02-10 |
1962949008 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Public Health or Welfare | 1216 N. 307th Avenue, San Lucy Clinic, Gila Bend, AZ 85337 | 2017-01-27 |
1316484462 | Golder Ranch Fire District | Public Health or Welfare | 3885 E Golder Ranch Dr, Tucson, AZ 85739-9797 | 2017-01-27 |
1609226364 | Clean Colonic LLC | Public Health or Welfare | 7560 S. Willow Dr, Tempe, AZ 85283 | 2016-06-14 |
1316304546 | Psa Behavioral Health Agency | Public Health or Welfare | 1308 N Stockton Hill Rd, Suite D, Kingman, AZ 86401-5139 | 2016-01-19 |
1346606761 | Banner Whole Health Clinic | Public Health or Welfare | 535 N, Wimont, Tucson, AZ 85711 | 2016-01-14 |
1467822734 | Psa Behavioral Health Agency | Public Health or Welfare | 4665 S Ash Ave Ste G-1, Tempe, AZ 85282-6765 | 2015-09-30 |
1346639408 | Corte Sierra Elementary School | Public Health or Welfare | 3300 N Santa Fe Trl, Avondale, AZ 85392-6734 | 2015-01-13 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.