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CH09289M NORTH COUNTRY HEALTHCARE, INC. (Active)
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Main Details
Name
NORTH COUNTRY HEALTHCARE, INC.
Subdivision Name
NORTH COUNTRY HEALTHCARE- WILLIAMS
Type
HRSA-Funded Health Center
Site ID
BPS-H80-030791
340B ID
CH09289M
Grant Number
H80CS00651
Additional Details
Current Program Status
Active
Registration Date
1/26/2011
Participating Start Date
4/1/2011
Participating Approval Date
1/31/2011
Last Recertification Date
2/23/2025
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
300 S 6th St
Williams, AZ 86046
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
April 2025
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