| Cobre Valley Regional Medical Center | |
|
186 E Stephens Way Tonto Basin AZ 85553 | |
| (928) 479-2871 | |
| (928) 473-3200 |
| Full Name | Cobre Valley Regional Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 186 E Stephens Way, Tonto Basin, Arizona |
| Authorized Official Name and Position | Neal D Jensen (CEO) |
| Authorized Official Contact | 9284021122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cobre Valley Regional Medical Center 5880 S Hospital Dr Globe AZ 85501-9447 Ph: (928) 425-3261 | Cobre Valley Regional Medical Center 186 E Stephens Way Tonto Basin AZ 85553 Ph: (928) 479-2871 |
| NPI Number | 1144799677 |
|---|---|
| Provider Enumeration Date | 11/14/2018 |
| Last Update Date | 09/08/2022 |
| Medicare PECOS PAC ID | 0648181693 |
|---|---|
| Medicare Enrollment ID | O20190415002861 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144799677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |