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NPI Code Detail

MEDICARE: FLAGSTAFF UNIFIED SCHOOL DISTRICT #1

MEDICARE: FLAGSTAFF UNIFIED SCHOOL DISTRICT #1
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251300000XLocal Education Agency (LEA)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1504896OTHERAZAHCCCS PIN NUMBER

General Provider Information

NPI Number : 1407982226
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLAGSTAFF UNIFIED SCHOOL DISTRICT #1
Provider Business Mailing Address
First Line : 3285 E SPARROW AVE
Second Line :
City : FLAGSTAFF
State : AZ
Zip : 86004-7794
Country : US
Telephone Number : 928-527-6163
Fax Number : 928-527-6181
Provider Business Practice Location Address
First Line : 3285 E SPARROW AVE
Second Line :
City : FLAGSTAFF
State : AZ
Zip : 86004-7794
Country : US
Telephone Number : 928-527-6163
Fax Number : 928-527-6181
Authorized Official
Title or Position : MEDICAID SPECIALIST
Name : MRS. KATHY R WARREN
Credential :
Telephone Number : 928-527-6163
Provider Enumeration Date : 02/26/2007
Last Update Date : 08/22/2020

Similar Medicare Providers

1952029662 — MS. ALLISON NICOLE JENCKA PMHNP-BC, MSN
Practice Location Address:
3285 E SPARROW AVE
FLAGSTAFF, AZ
86004-7794
Practice Phone: 928-527-6163
Practice Fax:
1992854020 — MS. JODY M. TANNER M.A.
Practice Location Address:
3285 E SPARROW AVE
FLAGSTAFF, AZ
86004-7794
Practice Phone: 928-527-6000
Practice Fax:
1285771048 — MS. MARY LOUISE LOTTEN RN
Practice Location Address:
3285 E SPARROW AVE
FLAGSTAFF, AZ
86004-7794
Practice Phone: 928-527-6118
Practice Fax:
1144342643 — KIRSTEN MELISSA JACOBSEN HEARNE R.N.
Practice Location Address:
3285 E SPARROW AVE
FLAGSTAFF, AZ
86004-7794
Practice Phone: 928-773-4122
Practice Fax:
1962626465 — CARRIE ANNE MCKENNA RN
Practice Location Address:
3285 E SPARROW AVE
FLAGSTAFF, AZ
86004-7794
Practice Phone: 928-773-4032
Practice Fax:
1750506770 — CARMELITA A WILSON RN
Practice Location Address:
3285 E SPARROW AVE
FLAGSTAFF, AZ
86004-7794
Practice Phone: 928-773-8152
Practice Fax:

Directions to “FLAGSTAFF UNIFIED SCHOOL DISTRICT #1 ” Practice Location

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