COBRE VALLEY REGIONAL MEDICAL CENTER NPI 1992967780

NPI Information

COBRE VALLEY REGIONAL MEDICAL CENTER is a rural health clinic center in Kearny, AZ. COBRE VALLEY REGIONAL MEDICAL CENTER NPI is 1992967780. The provider is registered as an organization entity type.
The provider Is Doing Business As Kearny Clinic.

The provider's business location address is:

100 S TILBURY DR
KEARNY, AZ
ZIP 85137
Phone: (520) 363-5573
Fax: (520) 363-5611

The provider's authorized official is Frank A Stapleton .
The authorized official title is Regional Clinics Director and has the following contact phone number (928) 402-1131.

The CLIA number assigned to this NPI record is 03D1087755 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/2/2008 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:

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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