North Country Healthcare, Inc. | |
2585 S. Miracle Mile Ste 116 Bullhead AZ 86442 | |
(928) 704-1221 | |
(928) 704-1243 |
Full Name | North Country Healthcare, Inc. |
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Speciality | Clinic/Center |
Location | 2585 S. Miracle Mile, Bullhead, Arizona |
Authorized Official Name and Position | Anne Newland (CEO) |
Authorized Official Contact | 9285229400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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North Country Healthcare, Inc. Po Box 3630 Flagstaff AZ 86003-3630 Ph: (928) 522-9400 | North Country Healthcare, Inc. 2585 S. Miracle Mile Ste 116 Bullhead AZ 86442 Ph: (928) 704-1221 |
NPI Number | 1760798680 |
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Provider Enumeration Date | 08/30/2010 |
Last Update Date | 06/30/2021 |
Medicare PECOS PAC ID | 8820981053 |
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Medicare Enrollment ID | O20110131000515 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760798680 | NPI | - | NPPES |
576587 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
261QM1300X | Clinic/center - Multi-specialty | (Arizona) | Primary |