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Contact Information

NORTH COUNTRY HEALTHCARE, INC.
2920 NORTH 4TH STREET
FLAGSTAFF, AZ86004
 Phone: 928-213-0589
 Fax: 928-213-0597
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for NORTH COUNTRY HEALTHCARE, INC.

NPI Number 1649334442
LBN Legal business name NORTH COUNTRY HEALTHCARE, INC.
Authorized official ANN ROGGENBUCK - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/19/2006
Last updated 03/07/2023 - About 3 years ago
Identifiers
AZ License # 3287
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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