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CH09289G NORTH COUNTRY HEALTHCARE, INC. (Active)
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Main Details
Name
NORTH COUNTRY HEALTHCARE, INC.
Subdivision Name
NORTH COUNTRY - WINSLOW SITE
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003331
340B ID
CH09289G
Grant Number
H80CS00651
Additional Details
Current Program Status
Active
Registration Date
5/6/2010
Participating Start Date
7/1/2010
Participating Approval Date
5/11/2010
Last Recertification Date
2/18/2025
Contacts
Authorizing Official
North Country HealthCare
ANNE NEWLAND, CEO
(928) 522-9564
Primary Contact
North Country HealthCare
Andrew Kurtz, Director of Pharmacy
(928) 522-1073
Addresses
Street Address
620 WEST LEE STREET
Winslow, AZ 86047-2435
Billing Address
NORTH COUNTRY HEALTHCARE
PO BOX 3630
FLAGSTAFF, AZ 86003
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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