Provider Demographics
NPI:1164174728
Name:NORTHERN AZ COUNCIL OF GOVERMENTS
Entity Type:Organization
Organization Name:NORTHERN AZ COUNCIL OF GOVERMENTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HRIS PROJECTS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEFFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-213-5234
Mailing Address - Street 1:5376 CLIMBING ROCK TRL
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86301-8468
Mailing Address - Country:US
Mailing Address - Phone:928-533-3424
Mailing Address - Fax:
Practice Address - Street 1:3003 CENTERPOINTE EAST DR
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86301-8492
Practice Address - Country:US
Practice Address - Phone:928-707-0141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-24
Last Update Date:2022-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251K00000XAgenciesPublic Health or Welfare
No253Z00000XAgenciesIn Home Supportive Care