COBRE VALLEY INTERNAL MEDICINE, PLLC.
NPI 1750598629
Internal Medicine in Globe, AZ

NPI Status: Active since May 17, 2007

Contact Information

5860 S HOSPITAL DR
SUITE 106
GLOBE, AZ
ZIP 85501
Phone: (928) 402-4278
Fax: (928) 425-2304

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  • Organization
  • Internal Medicine
  • CLIA Number: 03D0641973
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 01-02-2027

About COBRE VALLEY INTERNAL MEDICINE, PLLC.

This page provides the complete NPI Profile along with additional information for Cobre Valley Internal Medicine, Pllc., an internist established in Globe, Arizona operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1750598629 assigned on May 2007. The practitioner's primary taxonomy code is 207R00000X with license number 33961 (AZ). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mrs. Tahera Islam (Administrator)

NPI
1750598629
Provider Name
COBRE VALLEY INTERNAL MEDICINE, PLLC.
Entity Type
Organization
Location Address
5860 S HOSPITAL DR SUITE 106 GLOBE, AZ 85501
Location Phone
(928) 402-4278
Location Fax
(928) 425-2304
Mailing Address
5860 S HOSPITAL DR SUITE 106 GLOBE, AZ 85501
Mailing Phone
(928) 402-4278
Mailing Fax
(928) 425-2304
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-17-2007
Last Update Date
11-24-2007
Code Navigator

An internist like Cobre Valley Internal Medicine, Pllc. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
33961
License State
AZ
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. TAHERA ISLAM

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(928) 402-4278

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
Z105312MEDICARE ID-TYPE UNSPECIFIED (04)AZ 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D0641973
Facility Type
Hospital
Certificate Effective Date
January 03, 2025
Certificate Expiration Date
January 02, 2027
Laboratory Director
DR. KHALID G. ABOUL-NASR
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Cobre Valley Internal Medicine, Pllc. on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for COBRE VALLEY INTERNAL MEDICINE, PLLC.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750598629
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001091664
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 0 + 9 + 1 + 6 + 6 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1750598629 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1710962725 VICTORIA MARY STEVENS MD
Individual
Orthopaedic Surgery5860 S HOSPITAL DR SUITE 103
GLOBE, AZ 85501
(928) 425-3193
1134262017 LEILA ONO-MALHADO TODD MD
Individual
Internal Medicine5860 S HOSPITAL DR
GLOBE, AZ 85501
(928) 402-0001
1962621375EASTERN ARIZONA ORTHOPEDIC CLINIC PC
Organization
Specialist5860 S HOSPITAL DR STE103
GLOBE, AZ 85501
(928) 425-3193
1093019119W. BRUCE BUCKLEW, MD, PLLC
Organization
Clinic/Center (Medical Specialty)5860 S HOSPITAL DR SUITE 106
GLOBE, AZ 85501
(928) 402-1168
1255749032MILES EYE CENTER, PLLC
Organization
Ophthalmology5860 S HOSPITAL DR SUITE 101
GLOBE, AZ 85501
(928) 425-5203
1295710283 JODY LYNN DAGGETT MD
Individual
Orthopaedic Surgery5860 S HOSPITAL DR STE 103
GLOBE, AZ 85501
(928) 425-3193
1053586545PHOENIX VAMC
Organization
Clinic/Center (VA)5860 S HOSPITAL DR SUITE 111
GLOBE, AZ 85501
(702) 341-3152
1184162729MS. SARA KAY BENNETT DNP, RNP, FNP
Individual
Nurse Practitioner (Family)5860 S HOSPITAL DR SUITE 102
GLOBE, AZ 85501
(928) 402-0491
1457477564OASIS WELLNESS LLC
Organization
Surgery5860 S HOSPITAL DR SUITE 103
GLOBE, AZ 85501
(928) 425-2884
1699355800 LISA ANN ALLISON LCSW
Individual
Social Worker (Clinical)5860 S HOSPITAL DR
GLOBE, AZ 85501
(928) 402-0491

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750598629, enumerated in the NPI registry as an "organization" on May 17, 2007

The provider is located at 5860 S Hospital Dr Suite 106 Globe, Az 85501 and the phone number is (928) 402-4278

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 03D0641973 for a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on May 17, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.