North Country Healthcare Inc
Organization Active NPI Multi-Specialty Clinic/Center · Flagstaff, AZ
NPI 1053587261 · NPPES record last updated Jun 30, 2021
Key facts
- NPI
- 1053587261
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- License
- OTC 0806 (AZ)
- Legal business name
- NORTH COUNTRY HEALTHCARE INC
- Practice address
- 2920 N 4TH St
Flagstaff, AZ 86004-1816 - Phone
- (928) 213-6121
- Fax
- (928) 774-6687
- NPI assigned
- May 7, 2008
- Organization subpart
- No
Authorized official
- Name
- Anne M Newland
- Title
- Ceo
- Phone
- (928) 522-9400
Practitioners 57
-
Sandra Marie Bronni, M.D.
-
Kathy Loy Buchanan, NP-C
-
Diana McNally, FNP
-
Jonathan Joseph Tansill, PA-C
-
Edward Shane Trantham, FNP-C
-
Sarah Wheeler, DMD
-
Edmund Allison, FNP - C
-
April C Alvarez-Corona, M.D.
-
Lisa Marie Blasko, FNP-C
-
Carol A Capozzi, ARNP
-
Patricia Jean Cazel, CNM
-
Julia Beth Eskuchen, M.D.
-
Glenn Micah Finch, MSN, RN, FNP
-
Jessica H Gaylord, FNP
-
Richard A Gibula, MD
-
Katherine B Glaser, M.D.
-
Ruth Goldberg, CNM
-
Flint C Hales, MD
-
Sheilkeela Howard-Gurley, FNP-BC
National Provider Directory
Locations
2585 Miracle Mile
Ste 115
Bullhead City, AZ 86442
2585 Miracle Mile
Ste 114
Bullhead City, AZ 86442
Phone (928) 704-1221
1501 S Yale St
Ste 252
Flagstaff, AZ 86001
Phone (928) 774-1811
1611 E Joy Ln
Ste 1
Fort Mohave, AZ 86426
Phone (757) 251-0879
3505 Western Ave
Ste B
Kingman, AZ 86409
Phone (928) 692-0849
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | OTC 0806 | AZ | Yes |
Addresses
Primary practice location
2920 N 4TH St
Flagstaff, AZ 86004-1816
Mailing address
PO Box 3630
Flagstaff, AZ 86003-3630
Phone (928) 522-9400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 433079 | Medicaid | AZ |
Other providers in Flagstaff, AZ
- Alyssa Norman
- Luke Norman
- Chad William Norris
- Kyle F Norris
- Tracy Norris
- North Country Healthcare-Ponderosa HS
- North Country Healthcare, Inc.
- North Country Healthcare, Inc.
- North Country Healthcare, Inc.
- North Country Healthcare, Inc.
All providers in Flagstaff, AZ · Multi-Specialty Clinic/Center in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.