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 (CFO)
(928) 425-3261
Entity
Organization
Contact information
Practice address
124 N TEWKSBURY BLVD, YOUNG, AZ 85554
(928) 462-3435
(928) 462-6644
Mailing address
PO BOX 177, YOUNG, AZ 85554-0177
(928) 462-3435
(928) 462-6644
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
OTC 0508
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
934419
—
AZ
Enumeration date
02/22/2006
Last updated
08/10/2018
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