Healthcare Provider Details

I. General information

NPI: 1073417283
Provider Name (Legal Business Name): BULLHEAD CITY HOSPITAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1245 HANCOCK RD
BULLHEAD CITY AZ
86442-5940
US

IV. Provider business mailing address

2735 SILVER CREEK RD
BULLHEAD CITY AZ
86442-7924
US

V. Phone/Fax

Practice location:
  • Phone: 928-763-2585
  • Fax: 928-763-2735
Mailing address:
  • Phone: 928-763-2273
  • Fax: 928-704-6785

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: PAULA LALOR
Title or Position: SR. DIRECTOR
Credential:
Phone: 629-215-3953