Organization
NORTH COUNTRY HEALTHCARE, INC.
Active
Parent organization
NORTH COUNTRY HEALTHCARE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH COUNTRY HEALTHCARE, INC.
Authorized official
ANNE M NEWLAND MD (CEO)
(928) 522-9400
Entity
Organization
Contact information
Practice address
3505 WESTERN AVE, KINGMAN, AZ 86409-3071
(928) 753-1177
(928) 753-1178
Mailing address
PO BOX 3630, FLAGSTAFF, AZ 86003-3630
(928) 522-9400
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/06/2014
Last updated
06/30/2021
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