Goodwill of Northern Arizona
Goodwill of Northern Arizona is an Exclusive Provider Organization in Lake Havasu City, Arizona. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
1990 McCulloch Blvd NLake Havasu City, AZ 86403 Not confirmed with CMS for 10 years — call before visiting
Phone: (928) 526-9188
Fax: (928) 526-9240
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X |
|---|
Record details
| NPI number | 1053694448 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Liz McGinlay — Vp Mission Services · (928) 526-9188 |
| NPI enumerated | September 22, 2011 |
| Last updated in NPPES | May 25, 2016 |
| Mailing address | 4308 E. Route 66, Flagstaff, AZ 86004 |