La Paz Regional Hospital,Inc
Organization Active NPI General Acute Care Hospital · Parker, AZ
NPI 1629028295 · NPPES record last updated Jun 6, 2017
Key facts
- NPI
- 1629028295
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- H0138 (AZ)
- Legal business name
- LA PAZ REGIONAL HOSPITAL,INC
- Practice address
- 1200 W Mohave Rd
Parker, AZ 85344-6349 - Phone
- (928) 669-9201
- Fax
- (928) 669-7422
- NPI assigned
- May 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Kevin Brown
- Title
- Ceo
- Phone
- (928) 669-7300
Other NPIs on the same Medicare enrollment 10
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031219000694 | AZ | Part B Supplier - Clinic/Group Practice | 1557273356 |
Receives reassigned benefits from 94 practitioners 10 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Salome, AZ; Quartzsite, AZ; Parker, AZ; Bouse, AZ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | H0138 | AZ | Yes |
Addresses
Primary practice location
1200 W Mohave Rd
Parker, AZ 85344-6349
Mailing address
1200 W Mohave Rd
Parker, AZ 85344-6349
Phone (928) 669-9201
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480046 | Medicaid | AZ | |
| P0000900 | Other | AZ | BX OF AZ |
Other names
- La paz Regional Hospital
Other providers in Parker, AZ
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- La Paz Regional Hospital Inc., Dba Parker Podiatry
- La Paz Regional Hospital, Inc.
- La Paz Regional Hospital, Inc.
- Joanna Laffoon
- Jack Allen Lafountain
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- Scott Bradley Lamberson
All providers in Parker, AZ · General Acute Care Hospital in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.