340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAH031317-05 La Paz Regional Hospital (Terminated)
Print
Main Details
Name
La Paz Regional Hospital
Subdivision Name
PARKER PODIATRY - Podiatry
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH031317-05
Medicare Provider Number
031317
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/10/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/30/2018
Last Recertification Date
8/29/2019
Termination Date
Termination Reason
7/1/2020
Hospital Outpatient facility no longer eligible
Contacts
Authorizing Official
La Paz Regional Hospital
Kevin M Brown, CEO
(928) 669-7300
Primary Contact
La Paz Regional Hospital
Zafer L. Genc, Director of Pharmacy
(928) 669-7452
Addresses
Street Address
1713 Kofa Ave
STE
K
Parker, AZ 85344
Billing Address
La Paz Regional Hospital
1200 Mohave Rd
Parker, AZ 85344
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