LA PAZ REGIONAL HOSPITAL, INC. (NPI# 1083639983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083639983 |
Entity Type | Organization |
Organization Name | LA PAZ REGIONAL HOSPITAL, INC. |
Other Organization Name | DBA LA PAZ HELATHCARE PARKER CLINIC |
Practice Address |
601 W Riverside Dr Ste 3 Parker AZ 85344-5119 |
Mailing Address |
1200 W Mohave Rd Parker AZ 85344-6349 |
Practice Telephone | 9286695550 |
Practice Fax Number | 9286690061 |
Mailing Telephone | 9286699201 |
Mailing Fax Number | 9286697417 |
Enumeration Date | 2006-07-12 |
Last Update Date | 2017-06-06 |
Authorized Official Name | MS. KEVIN BROWN (CEO) |
Authorized Official Telephone | 9286697300 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | OTC5490 | AZ | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 480046 | 05 | |
AZ | 944148 | 05 | |
AZ | MEDICAR RR | CG7880 | 01 |
Other Name | Type Code |
---|---|
dba La Paz Helathcare Parker Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942228473 | La Paz Regional Hospital, Inc. | Clinic/Center | 1713 S Kofa Ave Ste J, Parker, AZ 85344-6400 | 2006-07-17 |
1013932938 | La Paz Regional Hospital, Inc. | Clinic/Center | 150 E Tyson Road, Quartzsite, AZ 85359 | 2006-07-12 |
1235154147 | La Paz Regional Hospital, Inc. | Clinic/Center | 44031 E Plumosa Road, Bouse, AZ 85325 | 2006-07-12 |
1629093539 | La Paz Regional Hospital, Inc. | Clinic/Center | 39726 Harquahala Road, Salome, AZ 85348 | 2006-07-12 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | LA PAZ REGIONAL HOSPITAL, INC. | 1200 Mohave Rd, Parker, AZ 85344-6349 |
Street Address |
601 W RIVERSIDE DR STE 3 |
City | PARKER |
State | AZ |
Zip Code | 85344-5119 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194107409 | Akdhc, LLC | Internal Medicine | 601 W Riverside Dr Ste 3, Parker, AZ 85344-5119 | 2015-06-23 |
1043556293 | Philip A St Raymond Md Pllc | Urology | 601 W Riverside Dr Ste 3, Parker, AZ 85344-5119 | 2012-12-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689156366 | Kimberly Lynnette Kirkpatrick | Pharmacist | 12033 W Agency Ave, Parker, AZ 85344 | 2018-08-30 |
1811419534 | Cheryl Brooks | Registered Nurse | 12033 W. Agency Ave, Parker, AZ 85344 | 2017-07-14 |
1356877716 | Damian Jenkins | Specialist/Technologist, Other | 1200 S Mohave Ave, Parker, AZ 85344 | 2017-05-04 |
1821434184 | Rio Vista Surgical Associates P.C. | Surgery | 1200 Mohave Dr, Parker, AZ 85344 | 2013-05-14 |
1881039600 | Juan G Lopez | Counselor | 13376 1st Ave, Parker, AZ 85344 | 2013-05-07 |
1942581699 | Rocky Mountain Holdings LLC | Ambulance | 913 S Ocotillo Ave, Parker, AZ 85344 | 2011-09-07 |
1467732271 | Adam Caton | Podiatrist | 1713 S Kofa Ave Ste K, Parker, AZ 85344 | 2011-08-24 |
1902137516 | Shana Lee Tackett | Student in an Organized Health Care Education/Training Program | 12330 Agency Rd, Parker Indian Health Center, Parker, AZ 85344 | 2010-01-21 |
1649501339 | Alice Rodriguez | Student in an Organized Health Care Education/Training Program | 12330 Agency Rd., Parker, AZ 85344 | 2010-01-20 |
1821328931 | Armando Sosa Jr. | Student in an Organized Health Care Education/Training Program | 12330 Agency Road, Parker, AZ 85344 | 2010-01-12 |
Find all providers in zip 85344 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437675089 | Webster Chiropractic | Clinic/Center | 11911 N State Highway 83 Ste 109, Parker, CO 80134-9074 | 2017-08-16 |
1942228473 | La Paz Regional Hospital, Inc. | Clinic/Center | 1713 S Kofa Ave Ste J, Parker, AZ 85344-6400 | 2006-07-17 |
1265903579 | Smile Always Dental | Clinic/Center | 10521 S Parker Rd Ste E, Parker, CO 80134-9079 | 2018-12-13 |
1881140200 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 10168 Parkglenn Way, Parker, CO 80138-3868 | 2016-08-26 |
1104287374 | Ascent Pllc | Clinic/Center | 12311 Pine Bluffs Way, #108, Parker, CO 80134 | 2016-03-15 |
1952674038 | Dhhs Ihs Phoenix Area | Clinic/Center | 12033 Agency Rd, Parker, AZ 85344-7718 | 2012-02-20 |
1710274428 | Sonoran Cardiology, Pllc | Clinic/Center | 1713 S Kofa Ave, Suite J, Parker, AZ 85344-6477 | 2011-07-01 |
1740517713 | Community Partners Integrated Healthcare, Inc. | Clinic/Center | 1021 S Kofa Ave, Parker, AZ 85344-5021 | 2009-11-11 |
1942449426 | Kaiser Foundation Health Plan of Co | Clinic/Center | 10168 Parkglenn Way, Parker, CO 80138-3868 | 2009-02-06 |
1891841151 | Healthstop Acquisitions, LLC | Clinic/Center | 11101 S Parker Rd, Parker, CO 80134-4773 | 2007-01-26 |
Find all providers in PARKER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.