North Country Medical, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

PADA185 Issued in AK

Legal business name

NORTH COUNTRY MEDICAL, LLC

Practice address

626 2ND St
Suite 201B
Fairbanks, AK 99701-3466

Phone

(907) 687-0722

NPI assigned

Oct 17, 2016

Organization subpart

No

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

Authorized official

Name

Paul Wood Finch Jr., P.A.NPI 1871568295

Title

Organizer

Phone

(907) 687-0722

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Paul Wood Finch Jr., PA-C

  • Physician Assistant
  • Fairbanks, AK
  • NPI 1871568295
  NPD Authorized official

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1790236578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 ZION CT",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995072151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 2ND ST",
            "address_2": "SUITE 201B",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013466",
            "telephone_number": "907-687-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTRY MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "FINCH",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "WOOD",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "907-687-0722",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AK",
            "license": "PADA185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Nollner
• Devra Norling, COTAL
• Dallas Paul Norman, MS, LPC, NCC
• Moriah S Norris
• North Country Chiropractic and Natural Health Care LLC
• North Star Children'S Dentistry, PC
• North Star Council on Aging, Inc.
• North Star Oral & Facial Surgery, LLC
• North Star Plastic Surgery LLC
• North Wind Behavioral Health

• Substance Abuse Rehabilitation Facility in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Substance Abuse Rehabilitation Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.