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Export Provider Record NPI 1093485138
North Country Healthcare, Inc.
Organization Subpart: NO
Active
NPI Number1093485138
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Clinic Pharmacy
Provider Details
NPI1093485138
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2021-09-20
Last Updated2021-09-20
Authorized OfficialAnne Newland
CEO
Phone: 9285229400
Mailing AddressPo Box 3630
Flagstaff, AZ 86003-3630
United States
Phone: (928) 233-5125
📍 View Map
Primary Practice Address1 Clinic Rd
Grand Canyon, AZ 86023-0290
United States
Phone: (928) 233-5125
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes3336C0002X – Pharmacy, Clinic Pharmacy
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About NPI 1093485138

North Country Healthcare, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1093485138. The primary specialty listed is Pharmacy, Clinic Pharmacy. The organization is located in Grand Canyon, AZ. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2021-09-20. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1093485138?

NPI 1093485138 belongs to North Country Healthcare, Inc., a Pharmacy, Clinic Pharmacy in Grand Canyon, AZ. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1093485138 active?

The current status of NPI 1093485138 in the NPPES registry is Active. The record was last updated on 2021-09-20.

What specialty is NPI 1093485138?

NPI 1093485138 is classified under the taxonomy Pharmacy, Clinic Pharmacy. 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 1093485138?

You can verify NPI 1093485138 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 1093485138?

The primary practice address on file for NPI 1093485138 is 1 Clinic Rd, Grand Canyon, AZ 86023-0290. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1093485138 issued?

NPI 1093485138 was first issued (enumerated) on 2021-09-20. The NPPES record was last updated on 2021-09-20.

Practice Location Map

North Country Healthcare, Inc. is located at 1 Clinic Rd, Grand Canyon, AZ. Use the map below to find directions or verify the practice location.

📍 1 Clinic Rd, Grand Canyon, AZ 86023-0290  ·  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: 2026-06-23 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162