BISBEE HOSPITAL ASSOCIATION NPI 1790182871

NPI Information

BISBEE HOSPITAL ASSOCIATION is a clinic center in Douglas, AZ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). BISBEE HOSPITAL ASSOCIATION NPI is 1790182871. The provider is registered as an organization entity type.
The provider Is Doing Business As Copper Queen Medical Associates-douglas.

The provider's business location address is:

100 E 5TH ST
DOUGLAS, AZ
ZIP 85607-859
Phone: (520) 364-7659

The provider's authorized official is James Dickson .
The authorized official title is Ceo and has the following contact phone number (520) 432-6400.

The CLIA number assigned to this NPI record is 03D2168111 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/4/2014 and was last updated on 12/4/2014.

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:

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