Children’s hospital · AZ
NORTH COUNTRY - ASH FORK SITE
Filed as NORTH COUNTRY HEALTHCARE, INC..
Taking partNoTermination date filed1 January 2021Last certified29 January 2020
- 0Registered locations
- 1Associated locations
- 2Contract pharmacies
- 0With no end date
- 1 July 2002In 340B since
Finances, as filed
This entity type does not file a Medicare cost report; no finances are recorded.
Changes recorded
Nothing on this record has moved since it was first read here on 6 September 2026.
Cite this page
Velarion Records, “NORTH COUNTRY - ASH FORK SITE”, citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 2026-09-07. https://velarionrecords.com/340b/CH09289B. Accessed 8 September 2026.
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- 1 July 2002
- Termination date
- 1 January 2021
- Termination reason
- Site closure
- Certification date
- 29 January 2020
- Record last edited
- 1 January 2021
Identifiers
- 340B ID
- CH09289B
- Entity type as filed
- CH
- Site ID
- BPS-H80-006769
- Grant number
- H80CS00651
112 PARK AVENUE, ASH FORK AZ 86320
Associated locations
| NORTH COUNTRY - ASH FORK SITE | 112 PARK AVENUE | ASH FORK AZ 86320 |
Pharmacy contracts
No end date filed0
No arrangement with no end date filed matches that.
An end date is filed2
An end date still in the future is a termination already filed, not one that has happened. Both are printed here as the file carries them.
| SAFEWAY INC | CHINO VALLEY, AZ | 9 March 2011 | 1 January 2021 |
| SAFEWAY INC | WILLIAMS, AZ | 5 April 2011 | 1 January 2021 |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.