National Provider Identifier Database

COBRE VALLEY REGIONAL MEDICAL CENTER
Rural Health


Contact Information

COBRE VALLEY REGIONAL MEDICAL CENTER
124 N TEWKSBURY BLVD
YOUNG, AZ85554
Phone: 928-462-3435
Fax: 928-462-6644
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for COBRE VALLEY REGIONAL MEDICAL CENTER

NPI Number 1811962848
Legal business name
LBN
COBRE VALLEY REGIONAL MEDICAL CENTER
Authorized official NEAL JENSEN - (CFO)
Entity Organization
Organization subpart No
Enumeration date 02/22/2006
Last updated 08/10/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: OTC 0508
  • AZ Medicaid: 934419

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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