NORTH COUNTRY HEALTHCARE INC. NPI 1033359468

NPI Information

NPI: 1033359468
Provider Name: NORTH COUNTRY HEALTHCARE, INC.
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
2090 N. SMOKETREE AVE
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 854-1800
Get Directions

NORTH COUNTRY HEALTHCARE, INC. is a multi-specialty clinic center in Lake Havasu City, AZ. NORTH COUNTRY HEALTHCARE, INC. NPI is 1033359468. The provider is registered as an organization entity type.

The provider's business location address is:

2090 N. SMOKETREE AVE
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 854-1800
Fax: (928) 854-1818

The provider's authorized official is Anne M Newland .
The authorized official title is Ceo and has the following contact phone number (928) 522-9400.

The enumeration date for this NPI number is 2/25/2009 and was last updated on 6/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			No
2	261QM1300X	Clinic/Center	Multi-Specialty		ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	433079	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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