# COPPER MOUNTAIN CLINIC-THATCHER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MT. GRAHAM REGIONAL MEDICAL CENTER, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1598692329
- **Legal business name:** MT. GRAHAM REGIONAL MEDICAL CENTER, INC.
- **Authorized official:** KATHLEEN LOUISE WILLIAMS (VP & CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (928) 348-4060

## Contact information

- **Practice address:** 1013 N COLLEGE AVE, SUITE 104, THATCHER, AZ 85552
- **Practice address phone:** (928) 348-3960
- **Practice address fax:** (844) 665-7939
- **Mailing address:** 1600 S 20TH AVE, SAFFORD, AZ 85546-4011
- **Mailing address phone:** (928) 348-4000
- **Mailing address fax:** (844) 665-7939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/06/2026
- **Last updated:** 05/06/2026