National Provider Identifier Database

NORTH COUNTRY HEALTHCARE INC
Multi-Specialty


Contact Information

NORTH COUNTRY HEALTHCARE, INC.
2585 S. MIRACLE MILE
STE 116
BULLHEAD, AZ86442
Phone: 928-704-1221
Fax: 928-704-1243
Website:
Specialty Taxonomy Code
* Multi-Specialty 261QM1300X
Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for NORTH COUNTRY HEALTHCARE, INC.

NPI Number 1760798680
Legal business name
LBN
NORTH COUNTRY HEALTHCARE, INC.
Authorized official ANNE NEWLAND - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 08/30/2010
Last updated 06/30/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ Medicaid: 576587

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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