| Copper Queen Community Hospital Hereford Rhc | |
|
4524 E Hereford Rd Hereford AZ 85615-8813 | |
| (520) 432-2042 | |
| Not Available |
| Full Name | Copper Queen Community Hospital Hereford Rhc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4524 E Hereford Rd, Hereford, Arizona |
| Authorized Official Name and Position | Robert Seamon (CEO-COPPER QUEEN COMMUNITY HOSPITAL) |
| Authorized Official Contact | 5204326400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Copper Queen Community Hospital Hereford Rhc Copper Queen Community Hospital 101 Cole Ave Bisbee AZ 85603 Ph: () - | Copper Queen Community Hospital Hereford Rhc 4524 E Hereford Rd Hereford AZ 85615-8813 Ph: (520) 432-2042 |
| NPI Number | 1245986975 |
|---|---|
| Provider Enumeration Date | 02/22/2022 |
| Last Update Date | 02/23/2022 |
| Medicare PECOS PAC ID | 5092626168 |
|---|---|
| Medicare Enrollment ID | O20221012000897 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245986975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| 305S00000X | Point Of Service | (* (Not Available)) | Secondary |
Copper Queen Medical Associates Palominas Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10524 E Highway 92, Hereford, AZ 85615 Phone: 520-366-0300 Fax: 520-432-8018 |