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Organization

NORTH COUNTRY HEALTHCARE INC.

Active
Find providers by NPI
Organization

NORTH COUNTRY HEALTHCARE INC.

Active
Parent organization
NORTH COUNTRY HEALTHCARE INC.
Other names
Grand Canyon Urgent Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
NORTH COUNTRY HEALTHCARE INC.
Authorized official
ANN M ROGGENBUCK (CEO)
(928) 774-8325
Entity
Organization

Contact information

Practice address
1 CLINIC ROAD, GRAND CANYON, AZ 86023
(928) 638-2551
(928) 638-2287
Mailing address
PO BOX 3630, FLAGSTAFF, AZ 86003-3630
(928) 213-6121
(928) 774-6687

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTC3823
ARIZONA DEPARTMENT OF HEALTH SERVICES
AZ
Enumeration date
02/05/2010
Last updated
02/05/2010
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