COBRE VALLEY REGIONAL MEDICAL CENTER; NPI #1992967780

Contact Information

COBRE VALLEY REGIONAL MEDICAL CENTER

100 S TILBURY DR
KEARNY, AZ 85137

Phone: 520-363-5573
Fax: 520-363-5611
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for COBRE VALLEY REGIONAL MEDICAL CENTER

NPI Number 1992967780

LBN Legal business name COBRE VALLEY REGIONAL MEDICAL CENTER

Authorized official FRANK STAPLETON - (REGIONAL CLINICS DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/02/2008

Last updated 08/09/2018 - About 8 years ago

Identifiers

AZ	License #	H0126
AZ	Medicaid	934437
	Other	1992967780	NPI

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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