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Organization

COBRE VALLEY REGIONAL MEDICAL CENTER

Active
Other names
Kearny Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FRANK A STAPLETON (REGIONAL CLINICS DIRECTOR)
(928) 402-1131
Entity
Organization

Contact information

Practice address
100 S TILBURY DR, KEARNY, AZ 85137
(520) 363-5573
(520) 363-5611
Mailing address
PO BOX 519, KEARNY, AZ 85237-0519
(520) 363-5573
(520) 363-5611

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
H0126
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1992967780
NPI
05
934437
AZ
Enumeration date
07/02/2008
Last updated
08/09/2018
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