COBRE VALLEY REGIONAL MEDICAL CENTER NPI 1649245135

NPI Information

NPI: 1649245135
Provider Name: COBRE VALLEY REGIONAL MEDICAL CENTER

Doing Business As: SUPERIOR CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
1134 W US HIGHWAY 60
SUPERIOR, AZ
ZIP 85173
Phone: (520) 689-2423
Get Directions

COBRE VALLEY REGIONAL MEDICAL CENTER is a rural health clinic center in Superior, AZ. COBRE VALLEY REGIONAL MEDICAL CENTER NPI is 1649245135. The provider is registered as an organization entity type.
The provider Is Doing Business As Superior Clinic.

The provider's business location address is:

1134 W US HIGHWAY 60
SUPERIOR, AZ
ZIP 85173
Phone: (520) 689-2423
Fax: (520) 689-5237

The provider's authorized official is Neal D. Jensen .
The authorized official title is Ceo and has the following contact phone number (928) 425-3261.

The enumeration date for this NPI number is 2/20/2006 and was last updated on 8/9/2018.

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	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health	H0126	ARIZONA	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1649245135	OTHER	ARIZONA	NPI
2	934467	MEDICAID	ARIZONA

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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