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COCHISE HEART CENTER PLLC NPI 1295835882


NPI Information

NPI: 1295835882
Provider Name: COCHISE HEART CENTER PLLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 03D0954010

Address:
75 COLONIA DE SALUD
SUITE 200B
SIERRA VISTA, AZ
ZIP 85635
Phone: (520) 417-0468
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COCHISE HEART CENTER PLLC is a cardiovascular disease internal medicine in Sierra Vista, AZ. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. COCHISE HEART CENTER PLLC NPI is 1295835882. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

75 COLONIA DE SALUD
SUITE 200B
SIERRA VISTA, AZ
ZIP 85635-487
Phone: (520) 417-0468
Fax: (520) 459-0526

The provider's authorized official is William G Elliott .
The authorized official title is Member and has the following contact phone number (520) 417-0468.

The CLIA number assigned to this NPI record is 03D0954010 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/23/2006 and was last updated on 10/22/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Z83128MEDICARE PINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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