North Country Healthcare, Inc. | |
2600 E. Show Low Lake Rd. Show Low AZ 85901 | |
(928) 537-4300 | |
Not Available |
Full Name | North Country Healthcare, Inc. |
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Speciality | Family Medicine |
Location | 2600 E. Show Low Lake Rd., Show Low, Arizona |
Authorized Official Name and Position | Anne M Newland (CEO) |
Authorized Official Contact | 9285229400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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. 2600 E. Show Low Lake Rd. Show Low AZ 85901 Ph: (928) 537-4300 |
NPI Number | 1033454707 |
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Provider Enumeration Date | 12/06/2012 |
Last Update Date | 06/30/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033454707 | NPI | - | NPPES |
Z70394 | Other | AZ | MEDICARE B PTAN |
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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