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CH09289U North Country Healthcare, Inc. (Active)
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Main Details
Name
North Country Healthcare, Inc.
Subdivision Name
NORTH COUNTRY - MOBILE UNIT WEST
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032073
340B ID
CH09289U
Grant Number
H80CS00651
Additional Details
Current Program Status
Active
Registration Date
3/9/2021
Participating Start Date
3/10/2021
Participating Approval Date
3/10/2021
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
1510 N Stockton Hill Rd
Kingman, AZ 86401-5173
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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June 2025
June 2025
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