North Country Healthcare, Inc. | |
300 S 6th St Williams AZ 86046-0110 | |
(928) 635-4441 | |
(928) 635-4403 |
Full Name | North Country Healthcare, Inc. |
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Speciality | Clinic/Center |
Location | 300 S 6th St, Williams, Arizona |
Authorized Official Name and Position | Anne M 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. 300 S 6th St Williams AZ 86046-0110 Ph: (928) 635-4441 |
NPI Number | 1750691788 |
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Provider Enumeration Date | 10/08/2010 |
Last Update Date | 01/12/2022 |
Medicare PECOS PAC ID | 8820981053 |
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Medicare Enrollment ID | O20110415000662 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750691788 | NPI | - | NPPES |
908079 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
261QM1300X | Clinic/center - Multi-specialty | (Arizona) | Primary |
North Country Healthcare Inc. Williams Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 S 6th St, Williams, AZ 86046 Phone: 928-635-4441 Fax: 928-635-4403 | |
Eagle Rock Health Clinc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 W Route 66, Suite 190, Williams, AZ 86046 Phone: 928-635-1044 Fax: 928-635-1042 |