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.