COCHISE MEDICAL GROUP PC NPI 1538608369

NPI Information

NPI: 1538608369
Provider Name: COCHISE MEDICAL GROUP PC
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
4677 N COMMERCE DR
SIERRA VISTA, AZ
ZIP 85635
Phone: (520) 439-2128
Get Directions

COCHISE MEDICAL GROUP PC is an addiction medicine family medicine in Sierra Vista, AZ. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. COCHISE MEDICAL GROUP PC NPI is 1538608369. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4677 N COMMERCE DR
SIERRA VISTA, AZ
ZIP 85635-497
Phone: (520) 439-2128
Fax: (520) 459-8567

The provider's authorized official is Jeffrey Scott Bivens .
The authorized official title is Hr Director and has the following contact phone number (520) 439-2128.

The enumeration date for this NPI number is 2/13/2017 and was last updated on 2/13/2017.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	No
2	111N00000X	Chiropractor		No
3	174H00000X	Health Educator		No
4	207Q00000X	Family Medicine		No
5	207QA0401X	Family Medicine	Addiction Medicine	Yes
6	208VP0014X	Pain Medicine	Interventional Pain Medicine	No
7	363LP2300X	Nurse Practitioner	Primary Care	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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