Whalio Doctors

NPI 1477836880

Goodwill of Northern Arizona

Organisation Voluntary or Charitable Agency Kingman, AZ

Practice location

Address
2369 Airway Avenue, Kingman, AZ 86401
Phone
(928) 526-9188
Fax
(928) 526-9240
Mailing address
4308 E Rte 66, Flagstaff, AZ 86004

Authorised official

Name
Liz McGinlay
Title
Vp Mission Services
Phone
(928) 526-9188

Registered specialties (2)

Voluntary or Charitable Agency Primary
Agencies Taxonomy 251V00000X
Exclusive Provider Organization
Managed Care Organizations Taxonomy 302F00000X

Registry record

NPI
1477836880
Entity type
Organization
NPI issued
21 Sep 2011
Record last updated
20 Nov 2015

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.