North Country Healthcare, Inc. | |
2109 Navajo Blvd Holbrook AZ 86025 | |
(928) 524-2851 | |
(928) 524-2171 |
Full Name | North Country Healthcare, Inc. |
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Speciality | Clinic/Center |
Location | 2109 Navajo Blvd, Holbrook, 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. 2109 Navajo Blvd Holbrook AZ 86025 Ph: (928) 524-2851 |
NPI Number | 1306960422 |
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Provider Enumeration Date | 03/16/2007 |
Last Update Date | 06/30/2021 |
Medicare PECOS PAC ID | 8820981053 |
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Medicare Enrollment ID | O20070222000434 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306960422 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
261QM1300X | Clinic/center - Multi-specialty | (Arizona) | Primary |
Petrified Forest Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 E Iowa St, Holbrook, AZ 86025 Phone: 928-524-3913 | |
Summit Healthcare Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 W Florida St, Holbrook, AZ 86025 Phone: 928-524-2020 Fax: 928-524-3755 | |
Petrified Forest Medical Center. Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 E Iowa St, Holbrook, AZ 86025 Phone: 928-524-3913 |