NPIMap

Organization Active NPI

North Country Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lowville, NY
National Provider Identifier
1386433126
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
5402 Dayan St
Lowville, NY 13367-1100
Phone
(315) 376-4600
Fax
(315) 376-5587
NPI assigned
May 6, 2025
Last updated
May 6, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH COUNTRY FAMILY HEALTH CENTER, INC.As 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 Marie Horton
Title
Chief Executive Officer
Phone
(315) 782-9450

Specialties & licenses 1

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

Addresses

Primary practice location

5402 Dayan St
Lowville, NY 13367-1100

Mailing address

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

Other names 1

  • Lowville Family Health Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250506003299 NY Part A Provider - Federally Qualified Health Center (FQHC) 8426299553 1 other NPI on this enrollment
Practice locations: Lowville, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386433126. Details of each certification follow.

Federally qualified health center certification: CCN 571903

Legal name
NORTH COUNTRY FAMILY HEALTH CENTER, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 25, 2025
Last certification
Apr 25, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
5402 Dayan St
Lowville, NY 13367-1100

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
North Country Family Health4 organizations share this tax ID, including this one
Part of
North Country Family Health

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

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

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mark L Taylor Individual Corporate Director Jan 1, 2025
Erin Hunter Individual Corporate OfficerChief Financial Officer Jan 1, 2024
Eileen Snyder Individual Corporate Director Jan 1, 2025
Shikhar Vyas Individual Corporate Director Jan 1, 2025
Jan H Macaulay Individual Corporate Director Jan 1, 2025
Joey M Horton Individual Corporate OfficerChief Executive Officer Jan 1, 2024
Nancy J Reutten Individual Corporate Director Jan 1, 2025
Jeffrey H Hellinger Individual Corporate Director Aug 1, 2025
Jillian L Redder Individual Corporate Director Jan 1, 2025
Shawn M Maloney Individual Corporate Director Aug 1, 2025
Maxine a Briggs Individual Corporate Director Jan 1, 2025
Lindsay Z Baldwin Individual Corporate Director Jan 1, 2025
Jeffrey L Ginger Individual Corporate Director Jan 1, 2025
Carrie B Bova Individual W-2 Managing EmployeeRevenue Cycle Director Mar 11, 2025
Leslie Distefano Individual Corporate Director Jan 1, 2024
Lynn Pietroski Individual Corporate Director Jan 1, 2024
Ashley Waite Individual Corporate Director Jan 1, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1386433126",
    "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": "5402 DAYAN ST",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671100",
            "telephone_number": "315-376-4600",
            "fax_number": "315-376-5587"
        }
    ],
    "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": "MARIE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "315-782-9450"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lowville Family Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lowville, NY

Sources for this page

Verify at the official NPI Registry.