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Contact Information

NORTH COUNTRY HEALTHCARE, INC.
1501 S YALE ST
STE 252
FLAGSTAFF, AZ86001-7304
 Phone: 928-774-1811
 Fax: 928-774-2001
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for NORTH COUNTRY HEALTHCARE INC · (Female)

NPI # 1669911764
Status Active
Credentials
Entity Individual
Enumeration date 02/22/2017
Last updated 06/30/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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