Organization
LA PAZ REGIONAL HOSPITAL INC
Active
Other names
LA PAZ HEALTHCARE KOFA CLINIC, RIVER HEALTH CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN BROWN (CEO)
(928) 669-7300
Entity
Organization
Contact information
Practice address
1200 W MOHAVE RD, PARKER, AZ 85344-6349
(928) 669-7380
(928) 669-7371
Mailing address
1200 W MOHAVE RD, PARKER, AZ 85344-6349
(928) 669-7400
(928) 669-7409
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
HO138
AZ
261QR1300X
Rural Health Clinic/Center
Primary
HO138
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222816
—
AZ
Enumeration date
09/14/2015
Last updated
01/13/2021
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