NPIMap

Organization Active NPI

Copper Mountain Clinic-Thatcher

  • Family Medicine Physician
  • Thatcher, AZ
National Provider Identifier
1598692329
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COPPER MOUNTAIN CLINIC-THATCHER
Practice address
1013 N College Ave
Suite 104
Thatcher, AZ 85552
Phone
(928) 348-3960
Fax
(844) 665-7939
NPI assigned
May 6, 2026
Last updated
May 6, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MT. GRAHAM REGIONAL MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kathleen Louise Williams
Title
VP & Chief Financial Officer
Phone
(928) 348-4060

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1013 N College Ave
Suite 104
Thatcher, AZ 85552

Mailing address

1600 S 20TH Ave
Safford, AZ 85546-4011
Phone (928) 348-4000

National Provider Directory

National Provider Directory
Tax ID family
Mt Graham Communnity Ho4 organizations share this tax ID, including this one
Part of
Mt Graham Communnity Ho

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1778025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1598692329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S 20TH AVE",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855464011",
            "telephone_number": "928-348-4000",
            "fax_number": "844-665-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 N COLLEGE AVE",
            "address_2": "SUITE 104",
            "city": "THATCHER",
            "state": "AZ",
            "postal_code": "85552",
            "telephone_number": "928-348-3960",
            "fax_number": "844-665-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPER MOUNTAIN CLINIC-THATCHER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MT. GRAHAM REGIONAL MEDICAL CENTER, INC.",
        "enumeration_date": "2026-05-06",
        "last_updated": "2026-05-06",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "VP & CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "928-348-4060"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thatcher, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.