Organization Name: | LA PAZ REGIONAL HOSPITAL INC |
NPI Number: | 1053684555 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY VICTORIA CLARK (CEO) |
Mailing Address: | 1200 W Mohave Rd Parker |
State: | AZ US |
Postal Code: | 853446349 |
Phone Number: | 9286699201 |
Fax Number: | 9286697409 |
NPI Enumeration Date: | 02/14/2012 |
NPI Last Update Date: | 02/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | H0138 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |