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CAH031314-00 Cobre Valley Regional Medical Center (Active)
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Main Details
Name
Cobre Valley Regional Medical Center
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH031314-00
Medicare Provider Number
031314
Additional Details
Current Program Status
Active
Registration Date
5/29/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/7/2012
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
Cobre Valley Regional Medical Center
Neal Jensen, CEO
(928) 402-1122
Primary Contact
Cobre Valley Regional Medical Center
Jacob D. Albin, Director of Pharmacy Services
(928) 402-1174
Addresses
Street Address
5880 S. Hospital Drive
Globe, AZ 85501
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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