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NORTH COUNTRY FAMILY HEALTH CENTER INC. NPI 1609946821


NPI Information

NPI: 1609946821
Provider Name: NORTH COUNTRY FAMILY HEALTH CENTER, INC.

Former Legal Business Name: NORTH COUNTRY CHILDREN'S CLINIC, INC.

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 33D0167550

Address:
238 ARSENAL STREET
WATERTOWN, NY
ZIP 13601
Phone: (315) 782-9450
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NORTH COUNTRY FAMILY HEALTH CENTER, INC. is a federally qualified health center (fqhc) clinic center in Watertown, NY. NORTH COUNTRY FAMILY HEALTH CENTER, INC. NPI is 1609946821. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is North Country Children's Clinic, Inc..

The provider's business location address is:

238 ARSENAL STREET
WATERTOWN, NY
ZIP 13601
Phone: (315) 782-9450
Fax: (315) 782-2643

The provider's authorized official is Joey Marie Horton .
The authorized official title is Executive Director and has the following contact phone number (315) 782-9450.

The CLIA number assigned to this NPI record is 33D0167550 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 5/7/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251V00000XVoluntary or Charitable2201202RNEW YORKNo
2251V00000XVoluntary or CharitableNEW YORKNo
3261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100583702MEDICAIDNEW YORK

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.