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 NEWLAND M.D. (CEO)
(928) 522-9400
Entity
Organization
Contact information
Practice address
2650 E. SHOW LOW LAKE RD, SUITE 1, SHOW LOW, AZ 85901
(928) 537-4300
(928) 537-4301
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)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
440465
—
AZ
Enumeration date
06/17/2009
Last updated
06/30/2021
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