Organization · Type 2 NPI

Cobre Valley Regional Medical Center

Rural Health Clinic/Center · Tonto Basin, AZ

NPI number 1144799677 Active

Practice location

186 E Stephens Way
Tonto Basin, AZ 85553

Call (928) 479-2871 Map

Fax (928) 473-3200

Mailing address

5880 S Hospital Dr
Globe, AZ 85501-9447

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

2 other providers at this address

NPI record

NPI: 1144799677
Entity type: Organization (Type 2)
Issued: Nov 14, 2018
Last updated: Sep 8, 2022
Status: Active
Subpart: Yes of Cobre Valley Regional Medical Center

Other names

<unavail>
Cobre Valley Tonto Basin Clinic · doing business as
Cobre Valley Tonto Basin Clinic · doing business as

Authorized official

Mr. Neal D Jensen
CEO
(928) 402-1122

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1144799677

Cobre Valley Regional Medical Center's National Provider Identifier is 1144799677, issued on Nov 14, 2018. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Tonto Basin, AZ. The record was last updated on Sep 8, 2022.