1053694448 GOODWILL OF NORTHERN ARIZONA

Exclusive Provider Organization

Active

Basic Information

Organization Name
GOODWILL OF NORTHERN ARIZONA
Enumeration Date
September 22, 2011
Last Update
May 25, 2016
Authorized Official
LIZ MCGINLAY B.S. ED. GCDF
VP MISSION SERVICES
Phone: (928) 526-9188

Practice Location

Address
1990 MCCULLOCH BLVD NORTH
LAKE HAVASU CITY, AZ 86403
Phone
(928) 526-9188
Fax
(928) 526-9240

Mailing Address

Address
4308 E. ROUTE 66
FLAGSTAFF, AZ 86004
Phone
(928) 526-9188
Fax
(928) 526-9274

Specialties & Taxonomies

Specialty Code Classification License State Primary
Exclusive Provider Organization
302F00000X Exclusive Provider Organization N/A N/A Primary

Frequently Asked Questions

What is GOODWILL OF NORTHERN ARIZONA's NPI number?
GOODWILL OF NORTHERN ARIZONA's NPI number is 1053694448.
Which doctor has NPI number 1053694448?
The doctor with NPI number 1053694448 is GOODWILL OF NORTHERN ARIZONA.
What is GOODWILL OF NORTHERN ARIZONA's practice address?
GOODWILL OF NORTHERN ARIZONA's practice address is 1990 MCCULLOCH BLVD NORTH, LAKE HAVASU CITY, AZ, 86403.
Which doctor practices at 1990 MCCULLOCH BLVD NORTH, LAKE HAVASU CITY, AZ, 86403?
GOODWILL OF NORTHERN ARIZONA practices at 1990 MCCULLOCH BLVD NORTH, LAKE HAVASU CITY, AZ, 86403.
What is GOODWILL OF NORTHERN ARIZONA's mailing address?
GOODWILL OF NORTHERN ARIZONA's mailing address is 4308 E. ROUTE 66, FLAGSTAFF, AZ, 86004.
What is GOODWILL OF NORTHERN ARIZONA's phone number?
GOODWILL OF NORTHERN ARIZONA's phone number is (928) 526-9188.
Who is (928) 526-9188?
(928) 526-9188 is the phone number for GOODWILL OF NORTHERN ARIZONA.
What is GOODWILL OF NORTHERN ARIZONA's specialty?
GOODWILL OF NORTHERN ARIZONA's specialty is Exclusive Provider Organization.
What type of doctor is GOODWILL OF NORTHERN ARIZONA?
GOODWILL OF NORTHERN ARIZONA is a Exclusive Provider Organization.
Is GOODWILL OF NORTHERN ARIZONA a Exclusive Provider Organization?
Yes, GOODWILL OF NORTHERN ARIZONA is a Exclusive Provider Organization.
Is GOODWILL OF NORTHERN ARIZONA still practicing?
Yes, GOODWILL OF NORTHERN ARIZONA is currently practicing.
Is GOODWILL OF NORTHERN ARIZONA accepting new patients?
GOODWILL OF NORTHERN ARIZONA may be accepting new patients. Please call their office at (928) 526-9188 to inquire about availability.
Is NPI 1053694448 still active?
Yes, NPI 1053694448 is currently active.
Where does GOODWILL OF NORTHERN ARIZONA practice?
GOODWILL OF NORTHERN ARIZONA practices in LAKE HAVASU CITY, AZ.