Pleasant Valley Community Medical Center

LBN: Cobre Valley Regional Medical Center
Pleasant Valley Community Medical Center is an health care organization with primary practice located at 124 N Tewksbury Blvd , Young AZ 85554. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Cobre Valley Regional Medical Center can be contacted via phone (928) 462-3435, or through Jensen, Neal D. via phone (928) 425-3261.

Contact Information

Primary practice address
124 N Tewksbury Blvd Young AZ 85554
Fax: (928) 462-6644
Website:
Authorized official contact:
Name: Jensen, Neal D.

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X OTC 0508 Arizona

Profile Details

NPI number 1811962848
LBN Legal business name Cobre Valley Regional Medical Center
DBA Doing business as Pleasant Valley Community Medical Center
Authorized official Jensen, Neal D.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2006
Last updated Aug 10th, 2018 - about 7 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 1811962848 NPPES
Arizona MEDICAID 934419

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