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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 Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Urgent Care

261QU0200X
Indicates primary specialty

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

NPI # 1144523184
LBN Legal business name NORTH COUNTRY HEALTHCARE INC. WILLIAMS URGENT CARE
Authorized official ANNE NEWLAND - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/14/2010
Last updated 01/12/2022 - About 4 years ago
Identifiers
AZ License # OTC0331
AZ Medicaid 908079
AZ Other OTC0331 OUTPATIENT TREATMENT CENTER
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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