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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 Specialty Code Provider Type

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for NORTH COUNTRY HEALTHCARE, INC.

NPI # 1760798680
LBN Legal business name NORTH COUNTRY HEALTHCARE, INC.
Authorized official ANNE NEWLAND - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/30/2010
Last updated 06/30/2021 - About 5 years ago
Identifiers
AZ Medicaid 576587
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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