| North Country Healthcare, Inc. | |
|
488 S. Mountain Ave. Springerville AZ 85938 | |
| (928) 333-0127 | |
| (928) 333-4799 |
| Full Name | North Country Healthcare, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 488 S. Mountain Ave., Springerville, Arizona |
| Authorized Official Name and Position | Anne M. Newland (CEO) |
| Authorized Official Contact | 9285229400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Country Healthcare, Inc. Po Box 3630 Flagstaff AZ 86003-3630 Ph: (928) 522-9400 | North Country Healthcare, Inc. 488 S. Mountain Ave. Springerville AZ 85938 Ph: (928) 333-0127 |
| NPI Number | 1790809879 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 06/30/2021 |
| Medicare PECOS PAC ID | 8820981053 |
|---|---|
| Medicare Enrollment ID | O20090312000468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790809879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (Arizona) | Primary |
White Mountain Regional Medical Center Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 S Mountain Ave, Springerville, AZ 85938 Phone: 928-333-7173 Fax: 928-333-7157 |