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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