Children’s hospital · AZ
NORTH COUNTRY HEALTHCARE, INC.
- 0Registered locations
- 5Associated locations
- 1Contract pharmacies
- 0With no end date
- 1 July 2010In 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 HEALTHCARE, INC.” (340B ID CH09289E), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/CH09289E
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- 1 July 2010
- Termination date
- 1 October 2026
- Termination reason
- Business decision by the Covered Entity
- Certification date
- 4 February 2026
- Record last edited
- 1 July 2026
Identifiers
- 340B ID
- CH09289E
- Entity type as filed
- CH
- Site ID
- BPS-H80-008372
- Grant number
- H80CS00651
- NPI
- 1053587261 (AZ), 1073740098 (AZ), 1649334442 (AZ)
2650 E Show Low Lake Rd, Show Low AZ 85901
Associated locations
| Organization | Address | Where |
|---|---|---|
| NORTH COUNTRY HEALTHCARE, INC. | 2650 E Show Low Lake Rd | Show Low AZ 85901 |
| North Country HealthCare | 2920 N 4th Street | Flagstaff AZ 86004 |
| North Country HealthCare | 1 Clinic Road | Grand Canyon AZ 86023 |
| North Country HealthCare | 1510 Stockton Hill Road | Kingman AZ 86401 |
| North Country Healthcare - Show Low | 2650 E Show Low Lake Rd | Show Low AZ 85901 |
Pharmacy contracts
| Pharmacy | Where | Begins | Ends |
|---|---|---|---|
| GERMAN DOBSON CVS, L.L.C. | SHOW LOW, AZ | 1 July 2024 | 1 October 2026 |
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.