North Country Healthcare, Inc.
LBN: North Country Healthcare, Inc.
North Country Healthcare, Inc. is an health care organization with primary practice located at 2090 N. Smoketree Ave , Lake Havasu City AZ 86403. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty.
North Country Healthcare, Inc. can be contacted via phone (928) 854-1800, or through Newland, Anne M via phone (928) 522-9400.
Contact Information
Primary practice address
2090 N. Smoketree Ave
Lake Havasu City AZ 86403
Phone: (928) 854-1800
Fax: (928) 854-1818
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | Arizona |
Profile Details
| NPI number | 1033359468 |
|---|---|
| LBN Legal business name | North Country Healthcare, Inc. |
| DBA Doing business as | |
| Authorized official | Newland, Anne M |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Feb 25th, 2009 |
| Last updated | Jun 30th, 2021 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033359468 | NPPES |
| Arizona | MEDICAID | 433079 |
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