Organization · Type 2 NPI

Northern Arizona Healthcare Corporation

Interventional Cardiology Physician · Cottonwood, AZ

NPI number 1861176166 Active

Practice location

269 S Candy Ln Ste 2C
Cottonwood, AZ 86326-4158

Call (928) 634-1331 Map

Mailing address

1200 N Beaver St
Flagstaff, AZ 86001-3118

Specialties and licenses

Taxonomy	Code	License
Cardiovascular Disease Physician	207RC0000X	None listed
Interventional Cardiology Physician Primary	207RI0011X	None listed

Interventional Cardiology Physician: An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

NPI record

NPI: 1861176166
Entity type: Organization (Type 2)
Issued: Jun 15, 2023
Last updated: Apr 16, 2025
Status: Active
Subpart: Yes of Northern Arizona Healthcare Corporation

Other names

<unavail>
Northern Arizona Healthcare Medical Group Cardiology-Cottonwood · doing business as
Northern Arizona Healthcare Medical Group Cardiology-Cottonwood · doing business as

Authorized official

Robert Cofield
Chief Operating Officer
(928) 773-2010

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1861176166

Northern Arizona Healthcare Corporation's National Provider Identifier is 1861176166, issued on Jun 15, 2023. The primary taxonomy on file is Interventional Cardiology Physician (207RI0011X), and the practice location is in Cottonwood, AZ. The record was last updated on Apr 16, 2025.