North Country Healthcare, Inc.
Organization Active NPI Multi-Specialty Clinic/Center · Flagstaff, AZ
NPI 1073583472 · NPPES record last updated Jun 30, 2021
Key facts
- NPI
- 1073583472
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- NORTH COUNTRY HEALTHCARE, INC.
- Practice address
- 2920 N. 4TH Street
Flagstaff, AZ 86004 - Phone
- (928) 522-9400
- Fax
- (928) 774-6687
- NPI assigned
- Jan 26, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- NORTH COUNTRY HEALTHCARE, INC.
Authorized official
- Name
- Anne M Newland
- Title
- Ceo
- Phone
- (928) 522-9400
Practitioners 188
-
Brandon Harold Abbott, D.O., M.P.H.
-
Elif Duysal Aksoylu, DMD, MPH
-
Edmund Allison, FNP - C
-
April C Alvarez-Corona, M.D.
-
Natalie M. Andress, CNM
-
Glen D. Austin, D.O.
-
Charles Jay Bawcom, APRN-RNP
-
Eric Black, DDS
-
Erin E. Black, FNP-C
-
Lisa Marie Blasko, FNP-C
-
Sandra Marie Bronni, M.D.
-
Nathan M Brooks, MD
-
Chelsea Marie Brumbaugh, NP-C
-
Kathy Loy Buchanan, NP-C
-
Jeremy K Burdick, FPN
-
Carol A Capozzi, ARNP
-
Lauren E Clements, CNM, RN
-
Jaime Cochran, FNP-C
-
Sarah M Coles, M.D.
National Provider Directory
- Part of
- North Country Community
Locations
2090 Smoketree Ave N
Lk Havasu Cty, AZ 86403
Phone (928) 854-1800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | AZ | Yes |
Addresses
Primary practice location
2920 N. 4TH Street
Flagstaff, AZ 86004
Mailing address
PO Box 3630
Flagstaff, AZ 86003-3630
Phone (928) 522-9400
Other providers in Flagstaff, AZ
- Chad William Norris
- Kyle F Norris
- Tracy Norris
- North Country Healthcare Inc
- North Country Healthcare-Ponderosa HS
- North Country Healthcare, Inc.
- North Country Healthcare, Inc.
- North Country Healthcare, Inc.
- North Country Healthcare, Inc.
- North Mountain Home Care
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.