340B Drug Pricing Program Database
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CAH031317-00 La Paz Regional Hospital (Active)
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Main Details
Name
La Paz Regional Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH031317-00
Medicare Provider Number
031317
Additional Details
Current Program Status
Active
Registration Date
1/14/2014
Participating Start Date
4/1/2014
Participating Approval Date
1/28/2014
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
La Paz Regional Hospital
Zafer L. Genc, Director of Pharmacy
(928) 669-7452
Primary Contact
La Paz Regional Hospital
Omar Iniguez Morales, Pharmacy Director
(928) 669-7452
Addresses
Street Address
1200 W Mohave Road
Parker, AZ 85344
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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