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Contact Information

FLAGSTAFF MEDICAL CENTER
77 W FOREST AVE
STE 104
FLAGSTAFF, AZ86001-1479
 Phone: 928-773-2565
 Fax: 928-214-3899
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for FLAGSTAFF MEDICAL CENTER

NPI # 1649348442
LBN Legal business name FLAGSTAFF MEDICAL CENTER
Authorized official ROBERT COFIELD - (CHIEF OPERATING OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/01/2006
Last updated 04/14/2025 - More than a year ago
Identifiers
AZ License # Y002531
AZ Medicaid 192104
Other 1988959 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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