Organization
BULLHEAD CITY HOSPITAL CORPORATION
Active
Other names
Western Arizona Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
2735 SILVER CREEK RD, BULLHEAD CITY, AZ 86442-7924
(928) 763-2273
Mailing address
PO BOX 847173, DALLAS, TX 75284-7173
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
H0156
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001088631
—
NV
05
—
001188631
—
NV
05
—
001288631
—
NV
01
—
0206770
BCBS
—
05
—
3022928
—
WA
01
—
531237
AHCCCS
—
05
—
531237
—
AZ
01
—
A6155
BC MI
—
Enumeration date
02/01/2006
Last updated
03/29/2021
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