NPIMap

Organization Active NPI

La Paz Regional Hospital, Inc.

Doing business as La Paz Internal Medicine

  • Clinic/Center
  • Parker, AZ
National Provider Identifier
1942228473
Registry record updated Jun 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
H0138 Issued in AZ
Legal business name
LA PAZ REGIONAL HOSPITAL, INC.
Doing business as
La Paz Internal Medicine
Practice address
1713 S Kofa Ave Ste J
Parker, AZ 85344-6400
Phone
(928) 669-6299
Fax
(928) 669-1623
NPI assigned
Jul 17, 2006
Last updated
Jun 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2017

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

Authorized official

Name
Ms. Kevin Bown
Title
Ceo
Phone
(928) 669-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X H0138 AZ Primary

Addresses

Primary practice location

1713 S Kofa Ave Ste J
Parker, AZ 85344-6400

Mailing address

1200 W Mohave Rd
Parker, AZ 85344-6349
Phone (928) 669-9201

Other identifiers 2

IdentifierTypeStateIssuer
CG7880OtherAZMEDICARE RR
187163MedicaidAZ

Other names 1

  • La Paz Internal Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tri Valley Medical Cent9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1713 S Kofa Ave
Ste A
Parker, AZ 85344
Phone (928) 669-7380

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496707200000",
    "number": "1942228473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W MOHAVE RD",
            "city": "PARKER",
            "state": "AZ",
            "postal_code": "853446349",
            "telephone_number": "928-669-9201",
            "fax_number": "928-669-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 S KOFA AVE STE J",
            "city": "PARKER",
            "state": "AZ",
            "postal_code": "853446400",
            "telephone_number": "928-669-6299",
            "fax_number": "928-669-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA PAZ REGIONAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2017-06-06",
        "status": "A",
        "authorized_official_last_name": "BOWN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-669-7300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "H0138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "CG7880",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187163",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Paz Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parker, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.