| La Paz Medical Services-quartzsite | |
|
150 E Tyson Road Quartzsite AZ 85359 | |
| (928) 927-8747 | |
| (928) 927-8748 |
| Full Name | La Paz Medical Services-quartzsite |
|---|---|
| Speciality | Clinic/Center |
| Location | 150 E Tyson Road, Quartzsite, Arizona |
| Authorized Official Name and Position | Kevin Brown (CEO) |
| Authorized Official Contact | 9286697300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Paz Medical Services-quartzsite 1200 W Mohave Rd Parker AZ 85344-6349 Ph: (928) 669-9201 | La Paz Medical Services-quartzsite 150 E Tyson Road Quartzsite AZ 85359 Ph: (928) 927-8747 |
| NPI Number | 1013932938 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 06/06/2017 |
| Medicare PECOS PAC ID | 1557273356 |
|---|---|
| Medicare Enrollment ID | O20031025000001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013932938 | NPI | - | NPPES |
| 480046 | Medicaid | AZ | |
| CG7880 | Other | AZ | MEDICARE RR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | OTC0810 (Arizona) | Primary |
Valley Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 394 N Central Blvd, Quartzsite, AZ 85346 Phone: 928-927-5454 Fax: 927-928-3303 | |
Arizona Community Health Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 N Central Blvd, Ste 4, Quartzsite, AZ 85346 Phone: 928-927-4226 Fax: 928-927-4231 |