Organization
LA PAZ REGIONAL HOSPITAL, INC.
Active
Other names
La Paz Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KEVIN BOWN (CEO)
(928) 669-7300
Entity
Organization
Contact information
Practice address
1713 S KOFA AVE STE J, PARKER, AZ 85344-6400
(928) 669-6299
(928) 669-1623
Mailing address
1200 W MOHAVE RD, PARKER, AZ 85344-6349
(928) 669-9201
(928) 669-7417
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
H0138
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187163
—
AZ
01
—
CG7880
MEDICARE RR
AZ
Enumeration date
07/17/2006
Last updated
06/06/2017
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