OrganizationActive
North Country Healthcare-Ponderosa Hs
NPI 1003222951 · Family Medicine Physician · Flagstaff, AZ
Provider details
- NPI number
- 1003222951
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Youngberg, Cfo(928) 522-9568
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2384 N Steves Blvd
Flagstaff, AZ 86004-6105
Phone: (928) 522-9410
Fax: (928) 522-9411
Street-level locationGet directions
Mailing address
Po Box 3630
Flagstaff, AZ 86003-3630
Registry dates
- Enumerated
- 2014-07-10
- Last updated
- 2014-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.