Organization
COBRE VALLEY REGIONAL MEDICAL CENTER
Active
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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