NORTHERN COCHISE COMMUNITY HOSPITAL NPI 1437557642

NPI Information

NORTHERN COCHISE COMMUNITY HOSPITAL is a family nurse practitioner in Willcox, AZ. NORTHERN COCHISE COMMUNITY HOSPITAL NPI is 1437557642. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sunsites Medical Clinic.

The provider's business location address is:

901 W REX ALLEN DR
WILLCOX, AZ
ZIP 85643-009
Phone: (520) 384-3541

The provider's authorized official is Roland Knox .
The authorized official title is Ceo and has the following contact phone number (520) 384-3541.

The CLIA number assigned to this NPI record is 03D0880280 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/22/2014 and was last updated on 12/22/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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