OrganizationActive
Az Bd of Regents for on Behalf of Northern Az University
NPI 1891727863 · Primary Care Clinic/Center · Flagstaff, AZ
Provider details
- NPI number
- 1891727863
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Haeger, President(928) 523-6343
- License
- 3E115 (AZ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Student Health Clinic/Center261QS1000X
Ambulatory Health Care Facilities
Laboratories
Suppliers
Practice location
824 S San Francisco St
Bldg 25 Northern Arizona University Campus
Flagstaff, AZ 86011-0001
Phone: (928) 523-6343
Fax: (928) 523-5730
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 6033
Flagstaff, AZ 86011-6033
Registry dates
- Enumerated
- 2006-07-07
- Last updated
- 2011-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.