La Paz Regional Hospital Inc

A Medicare group practice based in Parker, AZ: 12 NPIs enrolled under one PECOS associate control ID (PAC ID 1557273356), with 111 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1557273356The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Podiatry, Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
Enrolled in
AZ
Enrollments
9
Group size
50 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
15In 4 places

Enrollment records 9

Enrollment IDStateProvider typeNPI
O20031025000001 AZ Part A Provider - Rural Health Clinic 1013932938
O20031219000694 AZ Part B Supplier - Clinic/Group Practice 1053684555
O20080618000378 AZ Part A Provider - Rural Health Clinic 1235154147
O20050628001431 AZ Part A Provider - Rural Health Clinic 1629093539
O20120409000479 AZ Part A Provider - Critical Access Hospital 1598038093
O20120409000056 AZ Part A Provider - Critical Access Hospital 1053684555
O20160825002593 AZ Part A Provider - Rural Health Clinic 1487022950
O20160215000843 AZ DME Supplier - Physician - Podiatry 1053684555
O20250107000330 AZ Part B Supplier - Pharmacy 1235996075

NPIs in this group 12

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 111

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (109) or whom Care Compare lists as members (50).

Sources for this page