| North Country Healthcare Inc | |
|
126 E Main St Ste B Payson AZ 85541-5488 | |
| (928) 472-3700 | |
| (928) 468-8605 |
| Full Name | North Country Healthcare Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 126 E Main St Ste B, Payson, 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 |
|---|---|
| North Country Healthcare Inc Po Box 3630 Flagstaff AZ 86003-3630 Ph: (928) 522-9400 | North Country Healthcare Inc 126 E Main St Ste B Payson AZ 85541-5488 Ph: (928) 472-3700 |
| NPI Number | 1093146755 |
|---|---|
| Provider Enumeration Date | 12/06/2013 |
| Last Update Date | 06/30/2021 |
| Medicare PECOS PAC ID | 8820981053 |
|---|---|
| Medicare Enrollment ID | O20140408001136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093146755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Arizona) | Primary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
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