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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.

NPI # 1669911764
LBN Legal business name NORTH COUNTRY HEALTHCARE, INC.
Authorized official ANNE NEWLAND - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/22/2017
Last updated 06/30/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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