NORTH COUNTRY HEALTHCARE, INC.


Address: 2650 E. Show Low Lake Rd, Suite 1, Show Low, AZ 85901
Phone: 9285374300

NORTH COUNTRY HEALTHCARE, INC. (NPI# 1073740098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073740098
Entity Type Organization
Organization Name NORTH COUNTRY HEALTHCARE, INC.
Practice Address 2650 E. Show Low Lake Rd
Suite 1
Show Low
AZ 85901
Mailing Address Po Box 3630
Flagstaff
AZ 86003-3630
Practice Telephone 9285374300
Practice Fax Number 9285374301
Mailing Telephone 9285229879
Mailing Fax Number 9285229880
Enumeration Date 2009-06-17
Last Update Date 2016-07-26
Authorized Official Name ANNE NEWLAND (CEO/CMO)
Authorized Official Telephone 9285229576
Authorized Official Credential M.D.
Is Organization Subpart Y
Parent Organization Name NORTH COUNTRY HEALTHCARE, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
AZ Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AZ 440465 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1619345675 North Country Healthcare, Inc. Family Medicine 1120 West University Avenue, Suite 101, Flagstaff, AZ 86001-3630 2015-09-08
1033454707 North Country Healthcare, Inc. Family Medicine 2600 E. Show Low Lake Rd., Show Low, AZ 85901 2012-12-06
1750691788 North Country Healthcare, Inc. Clinic/Center 301 S 7th Street, Williams, AZ 86045 2010-10-08
1760798680 North Country Healthcare, Inc. Clinic/Center 2585 S. Miracle Mile, Ste 116, Bullhead, AZ 86442 2010-08-30
1033359468 North Country Healthcare, Inc. Clinic/Center 2090 N. Smoketree Ave, Lake Havasu City, AZ 86403 2009-02-25
1336329788 North Country Healthcare, Inc. Clinic/Center 1510 N Stockton Hill Rd, Kingman, AZ 86401 2007-11-13
1235254475 North Country Healthcare, Inc. Clinic/Center 22585 West Oak Street, Seligman, AZ 86337 2007-03-20
1275657363 North Country Healthcare, Inc. Clinic/Center 620 W. Lee Street, Winslow, AZ 86047 2007-03-16
1790809879 North Country Healthcare, Inc. Clinic/Center 488 S. Mountain Ave., Springerville, AZ 85938 2007-03-16
1649334442 North Country Healthcare, Inc. Pharmacy 2920 North 4th Street, Flagstaff, AZ 86004 2006-12-19

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities NORTH COUNTRY HEALTHCARE, INC. 2920 N 4th St, Flagstaff, AZ 86004-1816

Office Location

Street Address 2650 E. SHOW LOW LAKE RD
SUITE 1
City SHOW LOW
State AZ
Zip Code 85901

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811468804 Summit Healthcare Association Pharmacy 4951 South White Mountain Road, Bldg A., Suite 1500, Show Low, AZ 85901 2018-12-17
1821446386 Ivy L Loney Social Worker 580 E. Old Linden Rd #6, Show Low, AZ 85901 2016-05-25
1750749214 Summit Healthcare General Acute Care Hospital 181 East Sylvester, Show Low, AZ 85901 2016-01-29
1194153916 Alpha & Omega Physical Therapy Acc Physical Therapist 861 E Cooley St # B, Show Low, AZ 85901 2013-10-15
1033454707 North Country Healthcare, Inc. Family Medicine 2600 E. Show Low Lake Rd., Show Low, AZ 85901 2012-12-06
1215174768 Coast To Coast Air Ambulance, LLC Ambulance 3151 Airport Loop Ste 2, Show Low, AZ 85901 2009-01-20
1487899712 Akdhc, LLC Internal Medicine 2051 Evergreen Lane, Ste D, Your Family Practice Team, Show Low, AZ 85901 2008-12-16
1851553192 Health Angels Companion Care, Inc. Technician 1001 E. Huning, Show Low, AZ 85901 2008-06-27
1528231586 Peggy Johnson Occupational Therapist Cusd# 24 Hwy 191, Chinle, AZ 85901 2008-04-10
1114122132 Kathleen Hanson Home Health Aide 441 East Mills St, Show Low, AZ 85901 2007-06-19
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Competitor

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City SHOW LOW
Zip Code 85901

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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