Cobre Valley Internal Medicine, PLLC.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

33961 Issued in AZ

Legal business name

COBRE VALLEY INTERNAL MEDICINE, PLLC.

Practice address

5860 S Hospital Dr
Suite 106
Globe, AZ 85501-9449

Phone

(928) 402-4278

Fax

(928) 425-2304

NPI assigned

May 17, 2007

Last updated

Nov 24, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tahera Islam

Title

Administrator

Phone

(928) 402-4278

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195862400000",
    "number": "1750598629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5860 S HOSPITAL DR",
            "address_2": "SUITE 106",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855019449",
            "telephone_number": "928-402-4278",
            "fax_number": "928-425-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 S HOSPITAL DR",
            "address_2": "SUITE 106",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855019449",
            "telephone_number": "928-402-4278",
            "fax_number": "928-425-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBRE VALLEY INTERNAL MEDICINE, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-11-24",
        "status": "A",
        "authorized_official_last_name": "ISLAM",
        "authorized_official_first_name": "TAHERA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "928-402-4278",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "33961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet M Cline, DC
• Cobre Valley Community Hospital
• Cobre Valley Community Hospital
• Cobre Valley Emergency Services, LLC
• Cobre Valley Heart Institute PLLC
• Cobre Valley Regional Medical Center (Cvrmc Lab)
• Cobre Valley Regional Medical Center (Cobre Valley Red Rock Clinic)
• Cobre Valley Regional Medical Center (Cobre Valley Surgical Services)
• Cobre Valley Regional Medical Center (Cobre Valley Community Hospital)
• Cobre Valley Regional Medical Center

• Internal Medicine Physician in Globe, AZ
• Providers in Globe, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2007; 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.