Copper Mountain Clinic

LBN: Mt Graham Regional Medical Center Inc
Copper Mountain Clinic is an health care organization with primary practice located at 2250 W 16Th St , Safford AZ 85546-4081. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Mt Graham Regional Medical Center Inc can be contacted via phone (928) 348-4037, or through Hansen, Diane via phone (928) 348-4037.

Contact Information

Primary practice address
2250 W 16Th St Safford AZ 85546-4081
Phone: (928) 348-4037
Fax: (844) 271-2379
Website:
Map and Directions
Authorized official contact:
Name: Hansen, Diane
Phone: (928) 348-4037

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1346528759
LBN Legal business name Mt Graham Regional Medical Center Inc
DBA Doing business as Copper Mountain Clinic
Authorized official Hansen, Diane
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 2nd, 2011
Last updated Mar 24th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346528759 NPPES
Arizona MEDICAID 920739
Arizona MEDICAID 964830

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