NORTH COUNTRY HEALTHCARE, INC. (NPI# 1275657363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275657363 |
| Entity Type | Organization |
| Organization Name | NORTH COUNTRY HEALTHCARE, INC. |
| Practice Address |
620 W. Lee Street Winslow AZ 86047 |
| Mailing Address |
Po Box 3630 Flagstaff AZ 86003-3630 |
| Practice Telephone | 9282892000 |
| Practice Fax Number | 9282890036 |
| Mailing Telephone | 9285229879 |
| Mailing Fax Number | 9285229880 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2016-07-26 |
| Authorized Official Name | ANNE NEWLAND (CEO/CMO) |
| Authorized Official Telephone | 9285229576 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTH COUNTRY HEALTHCARE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
AZ | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619345675 | North Country Healthcare, Inc. | Family Medicine | 1120 West University Avenue, Suite 101, Flagstaff, AZ 86001-3630 | 2015-09-08 |
| 1033454707 | North Country Healthcare, Inc. | Family Medicine | 2600 E. Show Low Lake Rd., Show Low, AZ 85901 | 2012-12-06 |
| 1750691788 | North Country Healthcare, Inc. | Clinic/Center | 301 S 7th Street, Williams, AZ 86045 | 2010-10-08 |
| 1760798680 | North Country Healthcare, Inc. | Clinic/Center | 2585 S. Miracle Mile, Ste 116, Bullhead, AZ 86442 | 2010-08-30 |
| 1073740098 | North Country Healthcare, Inc. | Clinic/Center | 2650 E. Show Low Lake Rd, Suite 1, Show Low, AZ 85901 | 2009-06-17 |
| 1033359468 | North Country Healthcare, Inc. | Clinic/Center | 2090 N. Smoketree Ave, Lake Havasu City, AZ 86403 | 2009-02-25 |
| 1336329788 | North Country Healthcare, Inc. | Clinic/Center | 1510 N Stockton Hill Rd, Kingman, AZ 86401 | 2007-11-13 |
| 1235254475 | North Country Healthcare, Inc. | Clinic/Center | 22585 West Oak Street, Seligman, AZ 86337 | 2007-03-20 |
| 1790809879 | North Country Healthcare, Inc. | Clinic/Center | 488 S. Mountain Ave., Springerville, AZ 85938 | 2007-03-16 |
| 1649334442 | North Country Healthcare, Inc. | Pharmacy | 2920 North 4th Street, Flagstaff, AZ 86004 | 2006-12-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTH COUNTRY HEALTHCARE, INC. | 2920 N 4th St, Flagstaff, AZ 86004-1816 |
| Street Address |
620 W. LEE STREET |
| City | WINSLOW |
| State | AZ |
| Zip Code | 86047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097350 | Kalp Juthani | Student in an Organized Health Care Education/Training Program | 500 N Indiana Avenue, Winslow, AZ 86047 | 2020-03-11 |
| 1104461268 | Dental Innovations-winslow | Clinic/Center | 722 Mike's Pike Street, #101, Winslow, AZ 86047 | 2019-11-13 |
| 1417505611 | Association of Indigenous Pioneers, Incorporated (aipi) | Non-emergency Medical Transport (VAN) | Nec Navajo Route 15 & 60, Suite #2, Winslow, AZ 86047 | 2019-08-30 |
| 1790347573 | Wilfred Shirley | Counselor | 1/2 Mile Northeast Dilkon Bashas Store, Winslow, AZ 86047 | 2019-07-02 |
| 1871055624 | Mark Ashcraft | Student in an Organized Health Care Education/Training Program | Winslow Indian Health Care Center, 500 North Indiana Ave, Winslow, AZ 86047 | 2019-04-02 |
| 1568928521 | Winslow Indian Health Care Center, Inc | Pharmacy | 1.5 Mile N. Leupp Chapter House, Leupp, AZ 86047 | 2019-02-14 |
| 1659837615 | Winslow Indian Health Care Center, Inc | Pharmacy | 3 Mls S. of Dilkon Chapter Hse., Dilkon, AZ 86047 | 2019-02-14 |
| 1750809836 | Grassroots Medical Supply | Durable Medical Equipment & Medical Supplies | Nec Navajo Route 15 and 60, Suite #2, Winlsow, AZ 86047 | 2017-09-08 |
| 1538697396 | Janell K Dickson | Counselor | 1/4 Mile Ne of Bashas, Dilkon, AZ 86047 | 2017-05-24 |
| 1235599143 | Dennis Peters | Veterinarian | 4301 W Highway 66, Winslow, AZ 86047 | 2016-03-04 |
| Find all providers in zip 86047 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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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.