Provider Demographics
NPI:1538528955
Name:NORTHERN ARIZONA HEALTHCARE
Entity type:Organization
Organization Name:NORTHERN ARIZONA HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-282-8428
Mailing Address - Street 1:200 FAIRWAY OAKS LN
Mailing Address - Street 2:
Mailing Address - City:SEDONA
Mailing Address - State:AZ
Mailing Address - Zip Code:86351-8839
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6560 SR 179
Practice Address - Street 2:SUITE 118
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86351-7985
Practice Address - Country:US
Practice Address - Phone:928-282-8428
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-12
Last Update Date:2016-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit