Cobre Valley Tonto Basin Clinic | |
186 E Stephens Way Tonto Basin AZ 85553 | |
(928) 479-2871 | |
(928) 473-3200 |
Full Name | Cobre Valley Tonto Basin Clinic |
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Speciality | Clinic/Center |
Location | 186 E Stephens Way, Tonto Basin, Arizona |
Authorized Official Name and Position | Neal D Jensen (CEO) |
Authorized Official Contact | 9284021122 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cobre Valley Tonto Basin Clinic 5880 S Hospital Dr Globe AZ 85501-9447 Ph: (928) 425-3261 | Cobre Valley Tonto Basin Clinic 186 E Stephens Way Tonto Basin AZ 85553 Ph: (928) 479-2871 |
NPI Number | 1144799677 |
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Provider Enumeration Date | 11/14/2018 |
Last Update Date | 09/08/2022 |
Medicare PECOS PAC ID | 0648181693 |
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Medicare Enrollment ID | O20190415002861 |
Identifier | Type | State | Issuer |
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1144799677 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |