| North Country Healthcare, Inc. | |
|
300 S 6th St Williams AZ 86046-0110 | |
| (928) 635-4441 | |
| (928) 635-4403 |
| Full Name | North Country Healthcare, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 300 S 6th St, Williams, 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. 300 S 6th St Williams AZ 86046-0110 Ph: (928) 635-4441 |
| NPI Number | 1750691788 |
|---|---|
| Provider Enumeration Date | 10/08/2010 |
| Last Update Date | 01/12/2022 |
| Medicare PECOS PAC ID | 8820981053 |
|---|---|
| Medicare Enrollment ID | O20110415000662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750691788 | NPI | - | NPPES |
| 908079 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (Arizona) | Primary |
Guidance Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 W Grant Ave, Williams, AZ 86046 Phone: 928-635-4272 | |
Gerald J Taitague Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 W Route 66, Suite 190, Williams, AZ 86046 Phone: 928-635-1044 Fax: 928-635-1042 |