340B Drug Pricing Program Database
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CH09289H NORTH COUNTRY HEALTHCARE, INC. (Active)
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Main Details
Name
NORTH COUNTRY HEALTHCARE, INC.
Subdivision Name
NORTH COUNTRY - LAKE HAVASU CITY CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008180
340B ID
CH09289H
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
3/3/2025
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
2090 NORTH SMOKETREE AVE
LAKE HAVASU, AZ 86403
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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