BISBEE HOSPITAL ASSOCIATION NPI 1720536915

NPI Information

  • NPI: 1720536915
  • Provider Name: BISBEE HOSPITAL ASSOCIATION
  • Classification: General Acute Care Hospital - 282NC0060X
  • Specialization: Critical Access
  • Entity Type: Organization
  • Doing Business As: COPPER QUEEN COMMUNITY HOSPITAL
  • CLIA Number: 03D0531844
  • Address: 100 E 5TH ST
    DOUGLAS, AZ
    ZIP 85607
  • Phone: (520) 432-5383

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NPI Details

BISBEE HOSPITAL ASSOCIATION is a critical access general acute care hospital in Douglas, AZ. BISBEE HOSPITAL ASSOCIATION NPI is 1720536915. The provider is registered as an organization entity type.
The provider Is Doing Business As Copper Queen Community Hospital.

The provider's business location address is:

100 E 5TH ST
DOUGLAS, AZ
ZIP 85607-859
Phone: (520) 432-5383
Fax: (520) 432-8018

The provider's authorized official is James Ehasz .
The authorized official title is Cfo and has the following contact phone number (520) 432-6450.

The CLIA number assigned to this NPI record is 03D0531844 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/15/2016 and was last updated on 9/15/2016.

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
1282NC0060XGeneral Acute Care HospitalCritical AccessRGH0098ARIZONAYes

What is NPI?

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This page was last updated on: 11/21/2025

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