Organization
NORTH COUNTRY HEALTHCARE, INC.
Active
Parent organization
NORTH COUNTRY HEALTHCARE, INC.
Other names
Flagstaff Pediatric Care
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
1501 S YALE ST, STE 252, FLAGSTAFF, AZ 86001-7304
(928) 774-1811
(928) 774-2001
Mailing address
PO BOX 3630, FLAGSTAFF, AZ 86003-3630
(928) 522-9400
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Enumeration date
02/22/2017
Last updated
06/30/2021
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