| 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 |