Children’s hospital · AZ
NORTH COUNTRY - FLAGSTAFF CO-LOCATION SITE
Filed as NORTH COUNTRY HEALTHCARE, INC..
Taking partNoTermination date filed1 April 2022Last certified4 February 2021
- 0Registered locations
- 5Associated locations
- 0Contract pharmacies
- 0With no end date
- 1 January 2014In 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 - FLAGSTAFF CO-LOCATION 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/CH09289N. Accessed 8 September 2026.
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- 1 January 2014
- Termination date
- 1 April 2022
- Termination reason
- Business decision by the Covered Entity
- Certification date
- 4 February 2021
- Record last edited
- 1 April 2022
Identifiers
- 340B ID
- CH09289N
- Entity type as filed
- CH
- Site ID
- BPS-H80-008454
- Grant number
- H80CS00651
- NPI
- 1053587261 (AZ), 1649334442 (AZ), 1821228826 (AZ)
2187 NORTH VICKEY STREET STE 2, FLAGSTAFF AZ 86004
Associated locations
| NORTH COUNTRY - FLAGSTAFF CO-LOCATION SITE | 2187 NORTH VICKEY STREET STE 2 | FLAGSTAFF AZ 86004 |
| North Country HealthCare | 2187 North Vickey Street | Flagstaff AZ 86004 |
| 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 |
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.