Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice | |
Federally Qualified Health Center (FQHC) |
261QF0400X | B4[14] | Federally Qualified Health Center |
| NPI Number | 1750691788 |
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| LBN Legal business name | NORTH COUNTRY HEALTHCARE, INC. | ||||
| Authorized official | ANNE NEWLAND - (CEO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 10/08/2010 | ||||
| Last updated | 01/12/2022 - About 4 years ago | ||||
| Identifiers |
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