Provider Demographics
NPI:1821360546
Name:NORTH COUNTRY ACO
Entity Type:Organization
Organization Name:NORTH COUNTRY ACO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:603-259-3700
Mailing Address - Street 1:PO BOX 348
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:NH
Mailing Address - Zip Code:03561-0348
Mailing Address - Country:US
Mailing Address - Phone:603-259-3700
Mailing Address - Fax:603-444-0945
Practice Address - Street 1:262 COTTAGE STREET
Practice Address - Street 2:SUITE 230
Practice Address - City:LITTLETON
Practice Address - State:NH
Practice Address - Zip Code:03561-4143
Practice Address - Country:US
Practice Address - Phone:603-259-3700
Practice Address - Fax:603-444-0945
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTH COUNTRY HEALTH CONSORTIUM, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-01-27
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable