NORTH COUNTRY HEALTHCARE INC. – NPI #1366774044
Clinic/Center

NORTH COUNTRY HEALTHCARE INC. is an AHC clinic located in GRAND CANYON VILLAGE, AZ. NPPES has assigned the NPI number 1366774044 to NORTH COUNTRY HEALTHCARE INC. on February 05, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. NORTH COUNTRY HEALTHCARE INC. is also known by the name GRAND CANYON URGENT CARE. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTH COUNTRY HEALTHCARE INC. below.

NPI Profile for
NORTH COUNTRY HEALTHCARE INC.

NPI Number
1366774044
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTH COUNTRY HEALTHCARE INC.
Other Name: GRAND CANYON URGENT CARE
Primary location
1 CLINIC ROAD
GRAND CANYON VILLAGE, AZ 86023
Phone: (928) 638-2551 Fax: (928) 638-2287
Mailing address
PO BOX 3630
FLAGSTAFF, AZ 86003-3630
Phone: (928) 213-6121 Fax: (928) 774-6687
Organization Subpart
Yes - NORTH COUNTRY HEALTHCARE INC. is subpart of another organization.
Authorized Official
ANN ROGGENBUCK
CEO
Phone: (928) 774-8325
Updated
Identifiers

Identifiers for NORTH COUNTRY HEALTHCARE INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERARIZONA DEPARTMENT OF HEALTH SERVICESAZOTC3823
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)		 AZ

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.