| Flagstaff Medical Center | |
|
1200 N Beaver St Flagstaff AZ 86001-3118 | |
| (928) 779-3366 | |
| Not Available |
| Full Name | Flagstaff Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1200 N Beaver St, Flagstaff, Arizona |
| Authorized Official Name and Position | Clifford Loader (VP- CFO) |
| Authorized Official Contact | 9287732282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Flagstaff Medical Center 1200 N Beaver St Attn: Managed Care Contracting Flagstaff AZ 86001-3118 Ph: (928) 213-6543 | Flagstaff Medical Center 1200 N Beaver St Flagstaff AZ 86001-3118 Ph: (928) 779-3366 |
| NPI Number | 1649370875 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 01/09/2024 |
| Certification Date | 01/09/2024 |
| Medicare PECOS PAC ID | 2769392554 |
|---|---|
| Medicare Enrollment ID | O20071018000772 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649370875 | NPI | - | NPPES |
| 0005 | Other | AZ | CHAMPUS CHAMPVA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | H0169 (Arizona) | Secondary |
| 273R00000X | Psychiatric Unit | (Arizona) | Primary |
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