Copper Queen Medical Associates Palominas | |
10524 E Highway 92 Hereford AZ 85615-8371 | |
(520) 366-0300 | |
(520) 432-8018 |
Full Name | Copper Queen Medical Associates Palominas |
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Speciality | Clinic/center - Rural Health |
Location | 10524 E Highway 92, Hereford, Arizona |
Authorized Official Name and Position | James Dickson (CEO) |
Authorized Official Contact | 5204323400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Copper Queen Medical Associates Palominas 10524 E Highway 92 Hereford AZ 85615-8371 Ph: (520) 366-0300 | Copper Queen Medical Associates Palominas 10524 E Highway 92 Hereford AZ 85615-8371 Ph: (520) 366-0300 |
NPI Number | 1225438104 |
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Provider Enumeration Date | 08/28/2014 |
Last Update Date | 08/28/2014 |
Identifier | Type | State | Issuer |
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1225438104 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | H0098 (Arizona) | Primary |
Copper Queen Community Hospital Hereford Rhc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4524 E Hereford Rd, Hereford, AZ 85615 Phone: 520-432-2042 |