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Contact Information

NORTH COUNTRY HEALTHCARE INC.
1 CLINIC ROAD
GRAND CANYON VILLAGE, AZ86023
 Phone: 928-638-2551
 Fax: 928-638-2287
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urgent Care

261QU0200X
Indicates primary specialty

NPI Profile & details for NORTH COUNTRY HEALTHCARE INC.

NPI # 1366774044
LBN Legal business name NORTH COUNTRY HEALTHCARE INC.
Authorized official ANN ROGGENBUCK - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/05/2010
Last updated 02/05/2010 - About 16 years ago
Identifiers
AZ Other OTC3823 ARIZONA DEPARTMENT OF HEALTH SERVICES
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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