Organization
NORTH COUNTRY HEALTHCARE INC. WILLIAMS URGENT CARE
Active
Organization
NORTH COUNTRY HEALTHCARE INC. WILLIAMS URGENT CARE
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
300 S 6TH ST, WILLIAMS, AZ 86046-0110
(928) 635-4441
(928) 635-4403
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
—
—
261QU0200X
Urgent Care Clinic/Center
OTC0331
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
908079
—
AZ
01
—
OTC0331
OUTPATIENT TREATMENT CENTER
AZ
Enumeration date
12/14/2010
Last updated
01/12/2022
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