Healthcare Provider Details

I. General information

NPI: 1821360546
Provider Name (Legal Business Name): NORTH COUNTRY ACO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2012
Last Update Date: 01/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

262 COTTAGE STREET SUITE 230
LITTLETON NH
03561-4143
US

IV. Provider business mailing address

PO BOX 348
LITTLETON NH
03561-0348
US

V. Phone/Fax

Practice location:
  • Phone: 603-259-3700
  • Fax: 603-444-0945
Mailing address:
  • Phone: 603-259-3700
  • Fax: 603-444-0945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number StateNH

VIII. Authorized Official

Name: MRS. NANCY FRANK
Title or Position: EXECUTIVE DIRECTOR
Credential: MPH
Phone: 603-259-3700