Provider Demographics
NPI:1396517363
Name:NORTH COUNTRY HEALTHY HEART NETWORK, INC
Entity type:Organization
Organization Name:NORTH COUNTRY HEALTHY HEART NETWORK, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-891-5855
Mailing Address - Street 1:132 BLOOMINGDALE AVE, STE 2
Mailing Address - Street 2:
Mailing Address - City:SARANAC LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:12983-5135
Mailing Address - Country:US
Mailing Address - Phone:518-891-5855
Mailing Address - Fax:518-507-4850
Practice Address - Street 1:132 BLOOMINGDALE AVE, STE 2
Practice Address - Street 2:
Practice Address - City:SARANAC LAKE
Practice Address - State:NY
Practice Address - Zip Code:12983-5135
Practice Address - Country:US
Practice Address - Phone:518-891-5855
Practice Address - Fax:518-507-4850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-24
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Single Specialty