Organization
MT GRAHAM REGIONAL MEDICAL CENTER INC
Active
Parent organization
MT GRAHAM REGIONAL MEDICAL CENTER INC
Other names
Copper Mountain Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MT GRAHAM REGIONAL MEDICAL CENTER INC
Authorized official
DIANE HANSEN (DIRECTOR OUTPATIENT CLINICS)
(928) 348-4037
Entity
Organization
Contact information
Practice address
2175 W 16TH ST, SAFFORD, AZ 85546-0011
(928) 348-4037
(844) 271-2379
Mailing address
2175 W 16TH ST, SAFFORD, AZ 85546-0011
(928) 348-4037
(844) 271-2379
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
920739
—
AZ
05
—
964830
—
AZ
Enumeration date
08/02/2011
Last updated
11/07/2025
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