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Export Provider Record NPI 1033359468
North Country Healthcare, Inc.
Organization Subpart: YES
Active
NPI Number1033359468
NPI TypeNPI-2 Organization
SpecialtyClinic/Center, Multi-Specialty
Provider Details
NPI1033359468
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2009-02-25
Last Updated2021-06-30
Authorized OfficialAnne Newland
CEO
Phone: 9285229400
Mailing AddressPo Box 3630
Flagstaff, AZ 86003-3630
United States
Phone: (928) 522-9400
📍 View Map
Primary Practice Address2090 N. Smoketree Ave
Lake Havasu City, AZ 86403
United States
Phone: (928) 854-1800 | Fax: (928) 854-1818
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDAZ433079-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No261QF0400X – Clinic/Center, Federally Qualified Health Center (FQHC)--
Yes261QM1300X – Clinic/Center, Multi-SpecialtyAZ-
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About NPI 1033359468

North Country Healthcare, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1033359468. The primary specialty listed is Clinic/Center, Multi-Specialty. The organization is located in Lake Havasu City, AZ. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2009-02-25. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1033359468?

NPI 1033359468 belongs to North Country Healthcare, Inc., a Clinic/Center, Multi-Specialty in Lake Havasu City, AZ. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1033359468 active?

The current status of NPI 1033359468 in the NPPES registry is Active. The record was last updated on 2021-06-30.

What specialty is NPI 1033359468?

NPI 1033359468 is classified under the taxonomy Clinic/Center, Multi-Specialty. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1033359468?

You can verify NPI 1033359468 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1033359468?

The primary practice address on file for NPI 1033359468 is 2090 N. Smoketree Ave, Lake Havasu City, AZ 86403. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1033359468 issued?

NPI 1033359468 was first issued (enumerated) on 2009-02-25. The NPPES record was last updated on 2021-06-30.

Practice Location Map

North Country Healthcare, Inc. is located at 2090 N. Smoketree Ave, Lake Havasu City, AZ. Use the map below to find directions or verify the practice location.

📍 2090 N. Smoketree Ave, Lake Havasu City, AZ 86403  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as North Country Healthcare, Inc.. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-07-27 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162