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 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)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
908079
—
AZ
Enumeration date
10/08/2010
Last updated
01/12/2022
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