Organization
COBRE VALLEY REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEAL D. JENSEN (CEO)
(928) 425-3261
Entity
Organization
Contact information
Practice address
5880 S HOSPITAL DR, GLOBE, AZ 85501-9447
(928) 425-3261
(928) 425-1193
Mailing address
5880 S HOSPITAL DR, GLOBE, AZ 85501-9447
(928) 425-3261
(928) 425-1193
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2310
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0322583
NCPDP PROVIDER ID
AZ
01
—
1639384233
NPI
AZ
Enumeration date
05/14/2007
Last updated
07/05/2017
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