Organization
NORTH COUNTRY MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL WOOD FINCH JR. P.A. (ORGANIZER)
(907) 687-0722
Entity
Organization
Contact information
Practice address
626 2ND ST, SUITE 201B, FAIRBANKS, AK 99701-3466
(907) 687-0722
Mailing address
2500 ZION CT, ANCHORAGE, AK 99507-2151
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
PADA185
AK
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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