Organization · Type 2 NPI

Cobre Valley Regional Medical Center

Rural Health Clinic/Center · Young, AZ

NPI number 1811962848 Active

Practice location

124 N Tewksbury Blvd
Young, AZ 85554

Call (928) 462-3435 Map

Fax (928) 462-6644

Mailing address

PO Box 177
Young, AZ 85554-0177

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	OTC 0508 (AZ)

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

Other rural health clinic/center providers in Young

Cobre Valley Regional Medical CenterRural Health Clinic/Center Young, AZ NPI 1497021844

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NPI record

NPI: 1811962848
Entity type: Organization (Type 2)
Issued: Feb 22, 2006
Last updated: Aug 10, 2018
Status: Active

Other names

<unavail>
Pleasant Valley Community Medical Center · doing business as
Pleasant Valley Community Medical Center · doing business as

Authorized official

Neal D. Jensen
CFO
(928) 425-3261

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 1811962848

Cobre Valley Regional Medical Center's National Provider Identifier is 1811962848, issued on Feb 22, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Young, AZ. The record was last updated on Aug 10, 2018.