Organization
BULLHEAD CITY HOSPITAL CORPORATION
Active
Parent organization
BULLHEAD CITY HOSPITAL CORPORATION
Other names
Fox Creek Urgent Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
BULLHEAD CITY HOSPITAL CORPORATION
Authorized official
PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
2500 CANYON RD, BLDG B, UNIT 2, BULLHEAD CITY, AZ 86442-8689
(928) 763-2273
Mailing address
PO BOX 847173, DALLAS, TX 75284-7173
(928) 763-2273
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0206770
BC
AZ
Enumeration date
07/13/2010
Last updated
04/28/2021
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