NPI 1033359468
North Country Healthcare, INC.
Practice location
- Address
- 2090 N. Smoketree Ave, Lake Havasu City, AZ 86403
- Phone
- (928) 854-1800
- Fax
- (928) 854-1818
- Mailing address
- PO Box 3630, Flagstaff, AZ 86003-3630
Authorised official
- Name
- Anne M Newland
- Title
- Ceo
- Phone
- (928) 522-9400
Registered specialties (2)
Multi-Specialty Clinic/Center
Primary
Federally Qualified Health Center (FQHC)
Registry record
- NPI
- 1033359468
- Entity type
- Organization
- NPI issued
- 25 Feb 2009
- Record last updated
- 30 Jun 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.