NORTH COUNTRY MEDICAL, LLC
NPI 1790236578
Substance Abuse Rehabilitation Facility in Fairbanks, AK

Active since October 17, 2016CLIA 02D2120631 · Waiver
626 2ND ST, SUITE 201B, FAIRBANKS, AK 99701(907) 687-0722 Get Directions Write a Review

NPPES record last updated: October 17, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About North Country Medical, Llc NPPES

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

NORTH COUNTRY MEDICAL, LLC (NPI 1790236578) is a healthcare organization registered as a substance abuse rehabilitation facility in Fairbanks, Alaska and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through October 19, 2026 and lists Paul Wood Finch, Organizer, as its authorized official.

NPPES Registry Identity

NPI1790236578
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameNORTH COUNTRY MEDICAL, LLC
Location Address626 2ND ST, SUITE 201BFairbanks, AK 99701-3466
Mailing Address2500 Zion CtAnchorage, AK 99507-2151
Organization SubpartNo
Authorized OfficialPaul Wood FinchOrganizer · (907) 687-0722
Enumeration DateOctober 17, 2016
NPI 1790236578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License Licensed in AK · PADA185
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
626 2ND ST, Fairbanks, AK 99701

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 02D2120631

North Country Medical · Fairbanks, AK
Active · expires Oct 19, 2026
CLIA Number02D2120631
Laboratory TypePhysician Office
Certificate Effective DateOctober 20, 2024
Certificate Expiration DateOctober 19, 2026
Laboratory DirectorMr. Paul Finch
Laboratory Phone(907) 374-3869
Laboratory LocationNorth Country Medical626 2nd Street, Suite 201B, Fairbanks, AK 99701
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Counselor (Mental Health)
626 2ND ST
FAIRBANKS, AK 99701
Counselor (Professional)
626 2ND ST, SUITE 101A
FAIRBANKS, AK 99701
Counselor (Professional)
626 2ND ST, SUITE 303
FAIRBANKS, AK 99701

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 Medical, LLC's NPI number?

The NPI number for North Country Medical, LLC is 1790236578. It was assigned to this organization in the NPPES registry on October 17, 2016.

Where is North Country Medical, LLC located?

North Country Medical, LLC is located at 626 2nd St Suite 201B, Fairbanks, AK 99701. The listed phone number is (907) 687-0722.

What is North Country Medical, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does North Country Medical, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D2120631) is associated with this NPI, valid through October 19, 2026. 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 Medical, LLC was last updated on October 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.