| Copper Queen Community Hospital Tombstone Rhc | |
|
Bisbee Hospital Association 7 North San Diego St. Tombstone AZ 85638 | |
| (520) 432-2042 | |
| (520) 457-1485 |
| Full Name | Copper Queen Community Hospital Tombstone Rhc |
|---|---|
| Speciality | Clinic/Center |
| Location | Bisbee Hospital Association, Tombstone, Arizona |
| Authorized Official Name and Position | Robert Seamon (CEO) |
| Authorized Official Contact | 5204326400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Copper Queen Community Hospital Tombstone Rhc Copper Queen Community Hospital 101 Cole Ave Bisbee AZ 85603 Ph: (520) 432-2042 | Copper Queen Community Hospital Tombstone Rhc Bisbee Hospital Association 7 North San Diego St. Tombstone AZ 85638 Ph: (520) 432-2042 |
| NPI Number | 1841964624 |
|---|---|
| Provider Enumeration Date | 08/04/2021 |
| Last Update Date | 10/07/2021 |
| Certification Date | 10/07/2021 |
| Medicare PECOS PAC ID | 5092626168 |
|---|---|
| Medicare Enrollment ID | O20200402003385 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841964624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| 305S00000X | Point Of Service | (NU) | Secondary |
Tombstone Family Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 North San Diego Street, Tombstone, AZ 85638 Phone: 520-417-3001 Fax: 520-417-3297 |