Organization Active NPI

North Country Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Watertown, NY
National Provider Identifier
1194514034
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NORTH COUNTRY FAMILY HEALTH CENTER, INC.
Practice address
1220 Coffeen St BLDG 17
Watertown, NY 13601-1822
Phone
(315) 782-9450
NPI assigned
May 6, 2025
Organization subpart
Yes
Parent organization
NORTH COUNTRY FAMILY HEALTH CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joey M Horton
Title
Chief Executive Officier
Phone
(315) 782-9450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1220 Coffeen St BLDG 17
Watertown, NY 13601-1822

Mailing address

238 Arsenal St
Watertown, NY 13601-2504
Phone (315) 782-9450

Other names 1

  • Jefferson Community College Health and Wellness Center Other name

National Provider Directory

National Provider Directory
Part of
North Country Family Health Center Inc

Locations

423 N Main St
Mannsville, NY 13661

1351 Washington St
Watertown, NY 13601
Phone (315) 785-3700

1220 Coffeen St
Bldg 17
Watertown, NY 13601
Phone (315) 782-9450

171 E Hoard St
Watertown, NY 13601
Phone (315) 785-3750

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21901/brand/1/csg/1/fhir/r4

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1194514034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 ARSENAL ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012504",
            "telephone_number": "315-782-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 COFFEEN ST BLDG 17",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136011822",
            "telephone_number": "315-782-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTRY FAMILY HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH COUNTRY FAMILY HEALTH CENTER INC",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "JOEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICIER",
        "authorized_official_telephone_number": "315-782-9450"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson Community College Health and Wellness Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Watertown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.