NORTH COUNTRY FAMILY HEALTH CENTER, INC.
NPI 1194514034
Clinic/Center - Federally Qualified Health Center (FQHC) in Watertown, NY

Active since May 06, 2025CLIA 33D0167550 · Waiver
1220 COFFEEN ST BLDG 17, WATERTOWN, NY 13601(315) 782-9450 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About North Country Family Health Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH COUNTRY FAMILY HEALTH CENTER, INC. (NPI 1194514034) is a healthcare organization registered as a federally qualified health center (fqhc) in Watertown, New York and active in the NPI registry since May 2025. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Joey M Horton, Chief Executive Officier, as its authorized official.

NPPES Registry Identity

NPI1194514034
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNORTH COUNTRY FAMILY HEALTH CENTER, INC.
Location Address1220 COFFEEN ST BLDG 17Watertown, NY 13601-1822
Mailing Address238 Arsenal StWatertown, NY 13601-2504 · (315) 782-9450
Organization SubpartYesParent: North Country Family Health Center Inc
Authorized OfficialJoey M HortonChief Executive Officier · (315) 782-9450
Enumeration DateMay 6, 2025
NPPES CertifiedMay 6, 2025
NPI 1194514034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1220 COFFEEN ST BLDG 17, Watertown, NY 13601

Other Names 1

Other NameJefferson Community College Health And Wellness Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0167550

North Country Family Health Center Inc · Watertown, NY
Active · expires Mar 26, 2027
CLIA Number33D0167550
Laboratory TypeCommunity Clinic
Certificate Effective DateFebruary 11, 2009
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Jana D. Shaw
Laboratory Phone(315) 782-9450
Laboratory LocationNorth Country Family Health Center Inc238 Arsenal Street, Watertown, NY 13601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
1220 COFFEEN ST BLDG 17
WATERTOWN, NY 13601
Social Worker
1220 COFFEEN ST BLDG 17
WATERTOWN, NY 13601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Country Family Health Center, Inc.'s NPI number?

The NPI number for North Country Family Health Center, Inc. is 1194514034. It was assigned to this organization in the NPPES registry on May 6, 2025. The provider is also known as Jefferson Community College Health and Wellness Center.

Where is North Country Family Health Center, Inc. located?

North Country Family Health Center, Inc. is located at 1220 Coffeen St Bldg 17, Watertown, NY 13601. The listed phone number is (315) 782-9450.

What is North Country Family Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does North Country Family Health Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0167550) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for North Country Family Health Center, Inc. was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.