| Organization Name: | NORTHERN COCHISE COMMUNITY HOSPITAL INC |
| NPI Number: | 1013060367 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROLAND KNOX (CEO) |
| Mailing Address: | 901 W Rex Allen Dr Willcox |
| State: | AZ US |
| Postal Code: | 856431009 |
| Phone Number: | 5203843541 |
| Fax Number: | 5203840734 |
| NPI Enumeration Date: | 01/19/2007 |
| NPI Last Update Date: | 09/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | RGH-0128 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |