AZ BD OF REGENTS FOR ON BEHALF OF NORTHERN AZ UNIVERSITY – NPI #1891727863
Clinic/Center

AZ BD OF REGENTS FOR ON BEHALF OF NORTHERN AZ UNIVERSITY is an AHC clinic located in FLAGSTAFF, AZ. NPPES has assigned the NPI number 1891727863 to AZ BD OF REGENTS FOR ON BEHALF OF NORTHERN AZ UNIVERSITY on July 07, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 15 years ago on Aug 15, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AZ BD OF REGENTS FOR ON BEHALF OF NORTHERN AZ UNIVERSITY below.

NPI Profile for
AZ BD OF REGENTS FOR ON BEHALF OF NORTHERN AZ UNIVERSITY

NPI Number
1891727863
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AZ BD OF REGENTS FOR ON BEHALF OF NORTHERN AZ UNIVERSITY
Primary location
824 S SAN FRANCISCO ST
BLDG 25 NORTHERN ARIZONA UNIVERSITY CAMPUS
FLAGSTAFF, AZ 86011-0001
Phone: (928) 523-6343 Fax: (928) 523-5730
Mailing address
PO BOX 6033
FLAGSTAFF, AZ 86011-6033
Phone: (928) 523-6343 Fax: (928) 523-5730
Organization Subpart
No
Authorized Official
JOHN HAEGER
PRESIDENT
Phone: (928) 523-6343
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)		 AZ OTC5149
3336C0003X
- Pharmacy / Community/Retail Pharmacy		 AZ Y005336
291U00000X
- Clinical Medical Laboratory		 AZ 03D0057902
261QS1000X
- Clinic/Center / Student Health
261QR0200X
- Clinic/Center / Radiology		 AZ 3E115

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.