340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAH031317-01 La Paz Regional Hospital (Terminated)
Print
Main Details
Name
La Paz Regional Hospital
Subdivision Name
Parker Medical Center
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH031317-01
Medicare Provider Number
031317
Outpatient Facility Provider Number
038504
Additional Details
Current Program Status
Terminated
Registration Date
1/14/2014
Participating Start Date
4/1/2014
Participating Approval Date
1/28/2014
Last Recertification Date
9/4/2015
Termination Date
Termination Reason
10/1/2015
For-Profit conversion
Contacts
Authorizing Official
La Paz Regional Hospital
Kevin M Brown, CEO
(928) 669-7300
Primary Contact
Steve T. Stewart, Chief Financial Officer
(928) 669-7400
Addresses
Street Address
905 Fiesta Ave
Parker, AZ 85344
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session