Organization
LA PAZ REGIONAL HOSPITAL, INC.
Active
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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