NPIMap

Organization Active NPI

Bullhead City Hospital Corporation

Doing business as Fox Creek Urgent Care

  • Urgent Care Clinic/Center
  • Bullhead City, AZ
National Provider Identifier
1780996223
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
BULLHEAD CITY HOSPITAL CORPORATION
Doing business as
Fox Creek Urgent Care
Practice address
2500 Canyon Rd
BLDG B, Unit 2
Bullhead City, AZ 86442-8689
Phone
(928) 763-2273
NPI assigned
Jul 13, 2010
Last updated
Apr 28, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
BULLHEAD CITY HOSPITAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paula M Lalor
Title
Director/Delegated Official
Phone
(629) 215-3953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

2500 Canyon Rd
BLDG B, Unit 2
Bullhead City, AZ 86442-8689

Mailing address

PO Box 847173
Dallas, TX 75284-7173
Phone (928) 763-2273

Other identifiers 1

IdentifierTypeStateIssuer
AZ0206770OtherAZBC

Other names 1

  • Fox Creek Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030409000027 AZ Part A Provider - Hospital 6002725074 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bullhead City, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780996223. Details of each certification follow.

Hospital certification: CCN 030101

Legal name
BULLHEAD CITY HOSPITAL CORPORATION
Doing business as
WESTERN ARIZONA REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
May 8, 1998
Last certification
May 14, 2015
Beds
139
Ownership / control type
Private (for profit)
Most recent change of ownership
Jul 1, 2000 (1 total)
Organization structure
CorporationProprietary
Incorporated
Feb 15, 2000 in AZ
Enrollment address
2735 Silver Creek Rd
Bullhead City, AZ 86442-7924
Other Hospital Practice Location
Hospital subgroups
Acute care

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Western Arizona Regional Medical CenterCCN 030101 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Bullhead City Hosptial Corp

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Nathaniel K Summar Individual Corporate DirectorVP Revenue Management Jul 15, 2017
Justin D Pitt Individual Corporate OfficerPresident/Assistant Secretary Mar 1, 2022
Corporate DirectorPresident/Assistant Secretary Jan 2, 2026
William Bradley Cash Individual Corporate OfficerExecutive Vice President Jun 1, 2018
Corporate DirectorExecutive Vice President Jan 6, 2026
Phillip a Posey Individual Corporate OfficerSenior Vice President Jan 6, 2026
Community Health Systems Inc Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Nov 29, 2007 100%
Jason Kevin Johnson Individual Corporate OfficerExecutive Vice President Jan 6, 2020
Corporate DirectorExecutive Vice President Jan 6, 2026
Bullhead City Hospital Investment Corporation Organization, Franklin, TN Corporation 5% Or Greater Direct Ownership Interest Nov 29, 2007 100%
Roman Gabriel Ottinger Individual Corporate OfficerSenior VP/Treasurer Jan 6, 2020
David Schott Individual W-2 Managing EmployeeAd;Ceo Sep 7, 2026
Paula M Lalor Individual Corporate DirectorDelegated Official Apr 1, 2017
Edna S Buffington-Price Individual Corporate DirectorVP/Authorized Official Mar 1, 2022
Community Health Investment Company LLC Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Nov 29, 2007 100%
Christopher G Cobb Individual Corporate OfficerVP/Secretary Apr 1, 2017
CHS Community Health Systems Inc Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Nov 29, 2007 100%

Practitioners & affiliated clinicians

Affiliated clinicians 299

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 299

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1780996223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847173",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752847173",
            "telephone_number": "928-763-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 CANYON RD",
            "address_2": "BLDG B, UNIT 2",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428689",
            "telephone_number": "928-763-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULLHEAD CITY HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BULLHEAD CITY HOSPITAL CORPORATION",
        "enumeration_date": "2010-07-13",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "629-215-3953"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "AZ0206770",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fox Creek Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fox Creek Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bullhead City, AZ

Sources for this page

Verify at the official NPI Registry.