Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Surgery |
208600000X | 02 | Physician/General Surgery |
| NPI # | 1962896167 |
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| LBN Legal business name | COBRE VALLEY REGIONAL MEDICAL CENTER | ||||||||
| Authorized official | FRANK STAPLETON - (CEO) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 03/25/2015 | ||||||||
| Last updated | 04/21/2023 - About 3 years ago | ||||||||
| Identifiers |
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