Cobre Valley Regional Medical Center
Organization Active NPI Clinical Medical Laboratory · Globe, AZ
NPI 1003213828 · NPPES record last updated Nov 21, 2014
Key facts
- NPI
- 1003213828
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- License
- H0126 (AZ)
- Legal business name
- COBRE VALLEY REGIONAL MEDICAL CENTER
- Practice address
- 5880 S Hospital Dr
Globe, AZ 85501-9447 - Phone
- (928) 425-3261
- Fax
- (928) 425-3859
- NPI assigned
- Nov 21, 2014
- Organization subpart
- Yes
- Parent organization (as reported)
- COBRE VALLEY REGIONAL MEDICAL CENTER
Authorized official
- Name
- Mr. Neal D Jensen
- Title
- Ceo
- Phone
- (928) 402-1122
Corporate family (same tax ID) 12
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D0641973 | Cobre Valley Regional Medical Center | Accreditation | Jan 2, 2027 |
| 03D0882411 | Cobre Valley Regional Medical Center | Compliance | Mar 13, 2028 |
National Provider Directory
- Tax ID family
- Cobre Valley Community Hospital
- Part of
- Cobre Valley Community Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | H0126 | AZ | Yes |
Addresses
Primary practice location
5880 S Hospital Dr
Globe, AZ 85501-9447
Mailing address
5880 S Hospital Dr
Globe, AZ 85501-9447
Phone (928) 425-3261
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020644 | Medicaid | AZ |
Other names
- CVRMC LAB
Other providers in Globe, AZ
- Cobre Valley Community Hospital
- Cobre Valley Community Hospital
- Cobre Valley Emergency Services, LLC
- Cobre Valley Heart Institute PLLC
- Cobre Valley Internal Medicine, PLLC.
- Cobre Valley Regional Medical Center
- Cobre Valley Regional Medical Center
- Cobre Valley Regional Medical Center
- Cobre Valley Regional Medical Center
- Cobre Valley Regional Medical Center
All providers in Globe, AZ · Clinical Medical Laboratory in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.