Healthcare Provider Details

I. General information

NPI: 1912810565
Provider Name (Legal Business Name): COBRE VALLEY REGIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2440 E. HWY 60
GLOBE AZ
85501
US

IV. Provider business mailing address

5880 S HOSPITAL DR
GLOBE AZ
85501-9447
US

V. Phone/Fax

Practice location:
  • Phone: 928-425-8169
  • Fax:
Mailing address:
  • Phone: 928-402-1131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: FRANK STAPLETON
Title or Position: CHIEF CLINICAL OPERATIONS OFFICER
Credential:
Phone: 928-402-1131