NPI 1134402449

Goodwill Industries Na Sedona

Organisation Exclusive Provider Organization Sedona, AZ

Practice location

Address: 166 Coffee Pot Dr STE a, Sedona, AZ 86336-4507
Phone: (928) 526-9188
Fax: (928) 526-9240
Mailing address: PO Box 2278, Flagstaff, AZ 86003-2278

Authorised official

Name: Jordan Hoffman
Title: Director
Phone: (928) 526-9188

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

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Registry record

NPI: 1134402449
Entity type: Organization
NPI issued: 22 Sep 2011
Record last updated: 22 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.