PARAGON HEALTHCARE OF ARIZONA,LLC. (NPI# 1477786226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477786226 |
| Entity Type | Organization |
| Organization Name | PARAGON HEALTHCARE OF ARIZONA,LLC. |
| Practice Address |
2585 S Miracle Mile Suite 107 Bullhead City AZ 86442-7522 |
| Mailing Address |
2585 Miracle Mile Suite 107 Bullhead City AZ 86442-7522 |
| Practice Telephone | 9284448168 |
| Practice Fax Number | 9284448169 |
| Mailing Telephone | 9284448168 |
| Mailing Fax Number | 9284448169 |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2011-11-03 |
| Authorized Official Name | SAM W SPEAR (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9244448168 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities | ||
| Y | 2251C2600X |
Physical Therapist Specialization: Cardiopulmonary |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICARE PTAN | Z141280 | 01 |
| Street Address |
2585 S MIRACLE MILE SUITE 107 |
| City | BULLHEAD CITY |
| State | AZ |
| Zip Code | 86442-7522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801119185 | Mykal Duncan | Physical Therapy Assistant | 2585 S Miracle Mile, Ste. 107, Bullhead City, AZ 86442-7522 | 2010-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346869039 | Westcare Arizona I, Inc. | Substance Abuse Rehabilitation Facility | 1160 Agate Rd, Bullhead City, AZ 86442 | 2020-04-13 |
| 1710544895 | Assured Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 1665 Rainbow Dr Ste 7, Bullhead City, AZ 86442 | 2019-05-23 |
| 1306304845 | Muna Basnet Bhattarai | Nurse Practitioner | 3015 Hway 95 Ste 109, Bullhead City, AZ 86442 | 2019-03-04 |
| 1225508757 | Desert Springs Urgent Care, PC | Clinic/Center | 3706 Highway 95 Ste 1, Bullhead City, AZ 86442 | 2018-11-27 |
| 1750863114 | Susenie Delva Pierre | Nurse Practitioner | 3003 Hwy. 95, Suite 101, Bullhead City, AZ 86442 | 2018-09-02 |
| 1255819736 | Phoenix Cancer and Blodd Disorder Treatment Institute | Internal Medicine | 967 Hancock Rd 133, Bullhead City, AZ 86442 | 2018-08-06 |
| 1487140539 | Akdhc, LLC | Internal Medicine | 2771 Silver Creek Rd Ste 120, Bullhead City, AZ 86442 | 2018-07-02 |
| 1225543036 | Tri-state Sinus Center | Otolaryngology | 2020 Silver Creek, B101, Bullhead City, AZ 86442 | 2017-12-04 |
| 1396297123 | Henry Sy | Pharmacist | 2360 Az-95, Bullhead, AZ 86442 | 2016-10-27 |
| 1861854267 | Joshua Springs Operations LLC | Health Maintenance Organization | 2995 Desert Sky Blvd, Bullhead City, AZ 86442 | 2016-03-24 |
| Find all providers in zip 86442 | ||||
| Taxonomy Code | 2251C2600X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Cardiopulmonary |
| Definition to come... |
| City | BULLHEAD CITY |
| Zip Code | 86442 |
Please comment or provide details below to improve the information on PARAGON HEALTHCARE OF ARIZONA,LLC..
| 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.