COBRE VALLEY REGIONAL MEDICAL CENTER (NPI# 1003213828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003213828 |
| Entity Type | Organization |
| Organization Name | COBRE VALLEY REGIONAL MEDICAL CENTER |
| Other Organization Name | CVRMC LAB |
| Practice Address |
5880 S Hospital Dr Globe AZ 85501-9447 |
| Practice Telephone | 9284253261 |
| Practice Fax Number | 9284253859 |
| Mailing Telephone | 9284253261 |
| Mailing Fax Number | 9284253859 |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |
| Authorized Official Name | MR. NEAL D JENSEN (CEO) |
| Authorized Official Telephone | 9284021122 |
| Is Organization Subpart | Y |
| Parent Organization Name | COBRE VALLEY REGIONAL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | H0126 | AZ | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 020644 | 05 |
| Other Name | Type Code |
|---|---|
| CVRMC LAB | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144799677 | Cobre Valley Regional Medical Center | Family Medicine | 186 E Stephens Way, Tonto Basin, AZ 85553 | 2018-11-14 |
| 1497021844 | Cobre Valley Regional Medical Center | Clinic/Center | 124 N Tewskbury Blvd, Young, AZ 85554-0000 | 2012-03-30 |
| 1548591720 | Cobre Valley Regional Medical Center | General Acute Care Hospital | 5880 S Hospital Drive, Globe, AZ 85501-9447 | 2010-01-27 |
| 1992967780 | Cobre Valley Regional Medical Center | Clinic/Center | 100 S Tilbury Dr, Kearny, AZ 85137 | 2008-07-02 |
| 1811962848 | Cobre Valley Regional Medical Center | Clinic/Center | 124 N Tewksbury Blvd, Young, AZ 85554 | 2006-02-22 |
| 1649245135 | Cobre Valley Regional Medical Center | Clinic/Center | 1134 W Us Highway 60, Superior, AZ 85173 | 2006-02-20 |
| 1487297842 | Cobre Valley Regional Medical Center | Pharmacy | 100 S Tilbury Dr, Kearny, AZ 85137-1218 | 2019-10-17 |
| 1245899384 | Cobre Valley Regional Medical Center | Clinic/Center | 5990 S Hospital Dr, Globe, AZ 85501-9462 | 2019-06-12 |
| 1760876965 | Cobre Valley Regional Medical Center | Clinic/Center | 5882 S Hospital Dr Ste 1, Globe, AZ 85501-9455 | 2015-03-25 |
| 1962896167 | Cobre Valley Regional Medical Center | Clinic/Center | 5994 S Hospital Dr, Globe, AZ 85501-9462 | 2015-03-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COBRE VALLEY REGIONAL MEDICAL CENTER | 5880 S Hospital Dr, Globe, AZ 85501-9447 |
| Street Address |
5880 S HOSPITAL DR |
| City | GLOBE |
| State | AZ |
| Zip Code | 85501-9447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093719577 | Peter B. Peifer | Physician Assistant | 5880 S Hospital Dr, Globe, AZ 85501-9447 | 2005-06-13 |
| 1013552116 | Vm Health Initiatives LLC | Internal Medicine | 5880 S Hospital Dr, Globe, AZ 85501-9447 | 2019-11-12 |
| 1558920926 | Bonneville Med PC | Internal Medicine | 5880 S Hospital Dr, Globe, AZ 85501-9447 | 2019-06-10 |
| 1336612852 | Mark Wyma | Physician Assistant | 5880 S Hospital Dr, Globe, AZ 85501-9447 | 2019-01-08 |
| 1376028571 | Zachariah Mcbride | Physician Assistant | 5880 S Hospital Dr, Globe, AZ 85501-9447 | 2018-10-03 |
| 1124520150 | Lpp of Arizona LLC | Emergency Medicine | 5880 S Hospital Dr, Globe, AZ 85501-9447 | 2018-03-06 |
| 1336698851 | Michael Smith | Physician Assistant | 5880 S Hospital Dr, Globe, AZ 85501-9447 | 2016-09-26 |
| 1124430244 | Greater Anesthesia Solutions | Nurse Anesthetist, Certified Registered | 5880 S Hospital Dr, Globe, AZ 85501-9447 | 2014-05-22 |
| 1114347929 | Tranquilized Anesthesia LLC | Nurse Anesthetist, Certified Registered | 5880 S Hospital Dr, Globe, AZ 85501-9447 | 2014-04-18 |
| 1275893604 | Stuart Matthew Shellenberger | Nurse Anesthetist, Certified Registered | 5880 S Hospital Dr, Globe, AZ 85501-9447 | 2012-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558802884 | Mary Beth Patterson | Pharmacist | 100 S Ragus Rd, Globe, AZ 85501 | 2017-03-20 |
| 1255873402 | Christopher Sessions | Physician Assistant | 5880 N Hospital Drive, Globe, AZ 85501 | 2016-11-04 |
| 1235681156 | Michelle Pettitt | Naturopath | 138 S. Broad Street, Globe, AZ 85501 | 2016-10-26 |
| 1790154664 | Ryan Bradley | Physician Assistant | 5880 N Hospital Dr, Globe, AZ 85501 | 2015-09-21 |
| 1417297052 | Horizon Health and Wellness, Inc. | Community/Behavioral Health | 2250 Hwy 60, Suite I, Globe, AZ 85501 | 2013-02-19 |
| 1528307964 | William G Sypult | Internal Medicine | 8036 South Cherokee Drive, Globe, AZ 85501 | 2013-02-05 |
| 1821345752 | Community Bridges, Inc | Clinical Medical Laboratory | 5734 East Hope Lane, Globe, AZ 85501 | 2012-08-09 |
| 1417218876 | Canyonlands Community Health Care | Clinic/Center | 5860 South Hospital Drive, Ste 102, Globe, AZ 85501 | 2012-06-01 |
| 1770841215 | Cv Ob Gyn Women's Healthcare | Obstetrics & Gynecology | 5882 S Hospital Drive, Suite 1, Globe, AZ 85501 | 2012-05-02 |
| 1235420993 | Jennifer Lyn Davis | Licensed Vocational Nurse | 1300 South Street, Globe, AZ 85501 | 2011-04-28 |
| Find all providers in zip 85501 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821345752 | Community Bridges, Inc | Clinical Medical Laboratory | 5734 East Hope Lane, Globe, AZ 85501 | 2012-08-09 |
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| 1841807492 | Prn Diagnostics LLC | Clinical Medical Laboratory | 7007 E Main St, Mesa, AZ 85207-8204 | 2020-09-28 |
| 1841803939 | Sochilt Brown | Clinical Medical Laboratory | 41810 N Venture Dr Ste 152, Anthem, AZ 85086-3169 | 2020-08-28 |
| 1043821051 | Spectacular Med LLC | Clinical Medical Laboratory | 9989 N 95th St, Scottsdale, AZ 85258-4596 | 2020-08-12 |
| 1336757780 | Saguaro Health & Security LLC | Clinical Medical Laboratory | 4165 N Craftsman Ct Ste A, Scottsdale, AZ 85251-3863 | 2020-07-21 |
| 1346868452 | Covid Laboratories LLC | Clinical Medical Laboratory | 17727 N 92nd Way, Scottsdale, AZ 85255-6025 | 2020-07-06 |
| 1649890807 | Promed Services LLC | Clinical Medical Laboratory | 6986 E Mary Dr, Tucson, AZ 85730-1713 | 2020-04-17 |
| 1780203638 | Translational Genomics Research Institute | Clinical Medical Laboratory | 3051 W Shamrell Blvd Ste 106, Flagstaff, AZ 86005-9435 | 2020-04-10 |
| 1710512389 | Path Analytics Laboratory LLC | Clinical Medical Laboratory | 13402 N Scottsdale Rd Ste B195, Scottsdale, AZ 85254-4066 | 2020-03-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.