Flagstaff Medical Center, NPI 1427234111
Air Ambulance in Flagstaff, AZ, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1427234111
NPI Entity Type Organization
Provider Name Flagstaff Medical Center
Doing Business As
Subpart of Organization Flagstaff Medical Center
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1200 N Beaver St, Flagstaff, AZ, US
Provider Mailing Address 1200 N Beaver St, Attn: Managed Care Contracting, Flagstaff, AZ, US, 860013118
Is Sole Proprietor? No
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Organization Official

Official Name Ronald F Haase
Official Position NAH CHIEF SYSTEMS OFFICER
Phone 928-773-2059

Primary Taxonomy

Taxonomy Code

3416A0800X

Taxonomy Name Air Ambulance
Classification

Ambulance

Group

Transportation Services

License State AZ
Description Definition to come...

Other Organization Name

Guardian Air
Doing Business As

Business Address

Flagstaff Medical Center
1200 N Beaver St

Flagstaff, AZ, US

Phone: 928-779-3366

Mailing Address

Flagstaff Medical Center
1200 N Beaver St
Attn: Managed Care Contracting
Flagstaff, AZ, US
ZIP 860013118
Phone: 928-213-6543
Fax: 928-214-3613

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

3416A0800X

Transportation Services

Ambulance

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
000560831 AZ MEDICAID 05
IZ6654 AZ HEALTH NET MEDI CAL 01
P0150860 AZ BCBS SECONDARY 01
XMTA05923 AZ MEDICAID 05
AZ0150860 AZ COMMERCIAL 01
N232835 AZ HARMONY HEALTH 01
P0150860 AZ BCBS 01
003288069 AZ MEDICAID 05
804311 AZ MEDICAID 05

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NPI Name Taxonomy Address

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MRS. LCSW Colette Reon Hardesty-tesar X

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MD Xiao Kristin Liang

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RD Haley Dawn Smith

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MD Nicole Marie Casey

Individual

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Julie Ann Roberts

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MOT OTR/L, BCP, CIMI Victoria Wicus

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LCSW Taylor Redding

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Sierra Vista Regional Health Center Medical Group Llc

Organization

Family Medicine Physician

5750 E Highway 90

Suite 200

Sierra Vista, AZ

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PT Catherine Broadbent

Individual

Physical Therapist

23374 W Yuma Rd Ste 104

Buckeye, AZ

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