NORTH COUNTRY HEALTHCARE INC. WILLIAMS URGENT CARE (NPI# 1144523184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144523184 |
| Entity Type | Organization |
| Organization Name | NORTH COUNTRY HEALTHCARE INC. WILLIAMS URGENT CARE |
| Practice Address |
301 S 7th St Williams AZ 86046-2324 |
| Mailing Address |
Po Box 3630 Flagstaff AZ 86003-3630 |
| Practice Telephone | 9286354441 |
| Practice Fax Number | 9286354403 |
| Mailing Telephone | 9282335110 |
| Mailing Fax Number | 9287746687 |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2010-12-14 |
| Authorized Official Name | ANN M ROGGENBUCK (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9282136100 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTH COUNTRY HEALTHCARE INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
OTC0331 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | OUTPATIENT TREATMENT CENTER | OTC0331 | 01 |
| Street Address |
301 S 7TH ST |
| City | WILLIAMS |
| State | AZ |
| Zip Code | 86046-2324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053385153 | Thomas M Myers | Family Medicine | 301 S 7th St, Williams, AZ 86046-2324 | 2006-02-15 |
| 1275168429 | Brandon Anthony Hancz | Physical Therapy Assistant | 301 S 7th St, Williams, AZ 86046-2324 | 2020-03-09 |
| 1790343796 | Colin Jude Mcnamara | Registered Nurse | 301 S 7th St, Williams, AZ 86046-2324 | 2019-06-04 |
| 1871158022 | Sara Cortnie Zmrzel | Nurse Practitioner | 301 S 7th St, Williams, AZ 86046-2324 | 2019-05-02 |
| 1629528971 | Victoria Noack | Physical Therapist | 301 S 7th St, Williams, AZ 86046 | 2016-10-11 |
| 1093175440 | Sarah Anne Stoit | Nurse Practitioner | 301 S 7th St, Williams, AZ 86046-2324 | 2016-02-28 |
| 1275912784 | Dustin Titcomb | Physical Therapist | 301 S 7th St, Williams, AZ 86046-2324 | 2015-05-29 |
| 1952552515 | Jason W Schmit | Physical Therapist | 301 S 7th St, Williams, AZ 86046-2324 | 2008-10-01 |
| 1225285406 | Thomas P. Pelino | Family Medicine | 301 S 7th St, Williams, AZ 86046-2324 | 2008-08-19 |
| 1821286618 | Andrea R. Trujillo | Physical Therapist | 301 S 7th St, Williams, AZ 86046-2324 | 2007-10-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154631521 | Linda Louise Kline | Registered Nurse | 801 S State Rt 64, #218, Williams, AZ 86046 | 2010-10-19 |
| 1710126842 | Moseng Health Care Inc. | Chiropractor | 117 Route 66, Ste. 190, Williams, AZ 86046 | 2009-02-12 |
| 1801243902 | Laura Wade | Family Medicine | 300 S 6th St, Williams, AZ 86046 | 2016-05-18 |
| 1750794731 | Michael James Druschel | Family Medicine | 300 S 6th St, Williams, AZ 86046 | 2014-06-06 |
| 1730701004 | Melody Rhodes | Nurse Practitioner | 300 S 6th St, Williams, AZ 86046-0110 | 2020-05-10 |
| 1316143233 | Williams Unified School District #2 | Local Education Agency (LEA) | 515 South 9th Street, Williams, AZ 86046-0427 | 2007-06-26 |
| 1912145657 | Robert Leslie Farrell | Counselor | 601 N 7th St, Williams, AZ 86046-1905 | 2009-02-03 |
| 1295937589 | George Lynn Bardwell | Chiropractor | 706 N Grand Canyon Blvd., Williams, AZ 86046-2200 | 2007-05-31 |
| 1821236746 | Mary Denise Heiss | Counselor | 440 S 7th St, Williams, AZ 86046-2327 | 2009-01-30 |
| 1356964522 | Jocelyn Pawlicki | Nurse Practitioner | 501 S 7th St, Williams, AZ 86046-2328 | 2020-05-22 |
| Find all providers in zip 86046 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305312 | Right Care Urgent Care LLC | Clinic/Center | 9041 E Talking Stick Way, Scottsdale, AZ 85250-8521 | 2020-10-26 |
| 1528675865 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 4959 W Ray Rd Ste 33, Chandler, AZ 85226-2098 | 2020-09-30 |
| 1952918583 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 2875 W Ray Rd Ste 8, Chandler, AZ 85224-3619 | 2020-09-28 |
| 1962019554 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 725 S Rural Rd Ste 120, Tempe, AZ 85281-2047 | 2020-09-28 |
| 1265049894 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 12775 W Bell Rd Ste 100, Surprise, AZ 85378-9770 | 2020-09-28 |
| 1982211512 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 1810 S Power Rd Ste 101, Mesa, AZ 85206-4325 | 2020-09-28 |
| 1508473133 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 2860 W Peoria Ave Ste B, Phoenix, AZ 85029-5218 | 2020-09-28 |
| 1891302428 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 3244 S Mill Ave Ste 101, Tempe, AZ 85282-3688 | 2020-09-28 |
| 1396352985 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 3705 S Arizona Ave Ste 1, Chandler, AZ 85248-2703 | 2020-09-28 |
| 1588271118 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 4902 E Shea Blvd Ste 101, Scottsdale, AZ 85254-4184 | 2020-09-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.