NPIMap

Organization Active NPI

North Country Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Saint Johns, AZ
National Provider Identifier
1689799827
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
NORTH COUNTRY HEALTHCARE, INC.
Practice address
625 North 13TH West
St. Johns, AZ 85936
Phone
(928) 337-3705
Fax
(928) 337-3780
NPI assigned
Mar 20, 2007
Last updated
Jul 26, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH COUNTRY HEALTHCARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Authorized official

Name
Anne Newland, M.D.
Title
Ceo/Cmo
Phone
(928) 522-9576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X AZ Primary

Addresses

Primary practice location

625 North 13TH West
St. Johns, AZ 85936

Mailing address

PO Box 3630
Flagstaff, AZ 86003-3630
Phone (928) 522-9879

National Provider Directory

National Provider Directory
Part of
North Country Community

Practitioners & affiliated clinicians

Practitioners 5

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1689799827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3630",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860033630",
            "telephone_number": "928-522-9879",
            "fax_number": "928-522-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 NORTH 13TH WEST",
            "city": "ST. JOHNS",
            "state": "AZ",
            "postal_code": "85936",
            "telephone_number": "928-337-3705",
            "fax_number": "928-337-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTRY HEALTHCARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH COUNTRY HEALTHCARE, INC.",
        "enumeration_date": "2007-03-20",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "NEWLAND",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "CEO/CMO",
        "authorized_official_telephone_number": "928-522-9576",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.