# NORTH COUNTRY HEALTHCARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTH COUNTRY HEALTHCARE, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1619345675
- **Legal business name:** NORTH COUNTRY HEALTHCARE, INC.
- **Authorized official:** ANNE NEWLAND MD (CEO)
- **Authorized official phone:** (928) 522-9400

## Contact information

- **Practice address:** 1120 WEST UNIVERSITY AVENUE, SUITE 101, FLAGSTAFF, AZ 86001-3630
- **Practice address phone:** (928) 522-1300
- **Practice address fax:** (928) 526-1054
- **Mailing address:** PO BOX 3630, FLAGSTAFF, AZ 86003-3630
- **Mailing address phone:** (928) 522-9400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QF0400X | Federally Qualified Health Center (FQHC) | — | NULL | — |

## Other

- **Enumeration date:** 09/08/2015
- **Last updated:** 06/30/2021