NORTH COUNTRY HEALTHCARE, INC. (NPI# 1306960422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306960422 |
| Entity Type | Organization |
| Organization Name | NORTH COUNTRY HEALTHCARE, INC. |
| Practice Address |
2109 Navajo Blvd Holbrook AZ 86025 |
| Mailing Address |
Po Box 3630 Flagstaff AZ 86003-3630 |
| Practice Telephone | 9285242851 |
| Practice Fax Number | 9285242171 |
| Mailing Telephone | 9285229879 |
| Mailing Fax Number | 9285229880 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2016-07-26 |
| Authorized Official Name | ANNE NEWLAND (M.D.) |
| Authorized Official Telephone | 9285229576 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTH COUNTRY HEALTHCARE INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
AZ | Ambulatory Health Care Facilities |
| 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 |
| 1073740098 | North Country Healthcare, Inc. | Clinic/Center | 2650 E. Show Low Lake Rd, Suite 1, Show Low, AZ 85901 | 2009-06-17 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTH COUNTRY HEALTHCARE, INC. | 2920 N 4th St, Flagstaff, AZ 86004-1816 |
| Street Address |
2109 NAVAJO BLVD |
| City | HOLBROOK |
| State | AZ |
| Zip Code | 86025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447231667 | Mary Ann Henry | Physician Assistant | 2109 Navajo Blvd, Holbrook, AZ 86025-0000 | 2005-11-07 |
| 1710326731 | Heber George Dutson | Nurse Practitioner | 2109 Navajo Blvd, Holbrook, AZ 86025-1822 | 2013-06-24 |
| 1518253368 | Karen Sue Scott | Nurse Practitioner | 2109 Navajo Blvd, Holbrook, AZ 86025-1822 | 2011-06-21 |
| 1801093604 | Robert S. Dawson | Physician Assistant | 2109 Navajo Blvd, Holbrook, AZ 86025-0000 | 2007-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548505357 | Holbrook Senior Citizens Association | Assisted Living Facility | 216 Joy Nevin Avenue, Holbrook, AZ 86025 | 2012-12-05 |
| 1053660795 | Rainbow Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2425 Navajo Boulevard, Holbrook, AZ 86025 | 2012-09-07 |
| 1467695296 | Community Bridges, Inc | Clinic/Center | 995 Hermosa Drive, Holbrook, AZ 86025 | 2009-04-09 |
| 1932381738 | Valerie Ann Roanhorse | Speech-Language Pathologist | 294 West Carlos, Holbrook, AZ 86025 | 2007-12-04 |
| 1336224195 | Clarence H Hansen | Dentist | 407 E Iowa, Holbrook, AZ 86025 | 2006-10-27 |
| 1538266895 | Janelle Marie Golden | Speech-Language Pathologist | 294 W. Carlos, Special Services Consortium, Holbrook, AZ 86025 | 2006-09-20 |
| 1881760155 | Jason D Lyman | Dentist | 407 E Iowa, Holbrook, AZ 86025 | 2006-11-28 |
| 1932294543 | Christina Lynn Say | Physical Therapist | 294 W. Carlos, Holbrook, AZ 86025 | 2006-10-03 |
| 1306937297 | Rainbow Accommodation School | Local Education Agency (LEA) | 294 W. Carlos, Holbrook, AZ 86025 | 2006-09-27 |
| 1316339955 | Ronald Lance Mcgee | Chiropractor | 2120 Navajo Blvd, Ste A, Holbrook, AZ 86025-1830 | 2015-02-19 |
| Find all providers in zip 86025 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
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| 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.