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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 MD (CEO)
(928) 522-9400
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
261QF0400X
Federally Qualified Health Center (FQHC)

Other

Enumeration date
09/08/2015
Last updated
06/30/2021
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