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 # | 1790809879 |
| LBN Legal business name | NORTH COUNTRY HEALTHCARE, INC. |
| Authorized official | ANNE NEWLAND - (CEO) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 03/16/2007 |
| Last updated | 06/30/2021 - About 5 years ago |
| Identifiers | n/a |
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