Organization
COBRE VALLEY REGIONAL MEDICAL CENTER
Active
Other names
Pleasant Valley Community Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
NEAL D JENSEN (CEO)
(928) 425-3261
Entity
Organization
Contact information
Practice address
124 N TEWSKBURY BLVD, YOUNG, AZ 85554-0000
(928) 462-3435
(928) 462-6644
Mailing address
PO BOX 177, YOUNG, AZ 85554-0000
(928) 462-3435
(928) 462-6644
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
H0126
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371306
—
AZ
Enumeration date
03/30/2012
Last updated
01/30/2013
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