National Provider Identifier Database

NORTH COUNTRY HEALTHCARE INC WILLIAMS URGENT CARE
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

NORTH COUNTRY HEALTHCARE INC. WILLIAMS URGENT CARE
300 S 6TH ST
WILLIAMS, AZ86046-0110
Phone: 928-635-4441
Fax: 928-635-4403
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Urgent Care 261QU0200X

* Indicates primary specialty

NPI Profile & details for NORTH COUNTRY HEALTHCARE INC. WILLIAMS URGENT CARE

NPI Number 1144523184
Legal business name
LBN
NORTH COUNTRY HEALTHCARE INC. WILLIAMS URGENT CARE
Authorized official ANNE NEWLAND - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 12/14/2010
Last updated 01/12/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: OTC0331
  • AZ Medicaid: 908079
  • AZ Other: OTC0331 OUTPATIENT TREATMENT CENTER

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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