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NPI 1073417283

NPI 1073417283 : BULLHEAD CITY HOSPITAL CORPORATION : BULLHEAD CITY, AZ

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General NPI Number Information
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    NPI Number           |    1073417283
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    Entity Type          |    Organization 
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    Legal Business Name  |    BULLHEAD CITY HOSPITAL CORPORATION 
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Dates
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    Enumeration Date     |    10/03/2026
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    Last Update Date     |    10/03/2026
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Provider Practice Location Address
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    Address Line         |    1245 HANCOCK RD 
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    City                 |    BULLHEAD CITY
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    State                |    AZ
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    Zip                  |    86442-5940
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    Country              |    US
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    Telephone            |    928-763-2585
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    Fax                  |    928-763-2735
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Provider Business Mailing Address
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    Address Line         |    2735 SILVER CREEK RD 
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    City                 |    BULLHEAD CITY
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    State                |    AZ
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    Zip                  |    86442-7924
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    Country              |    US
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    Telephone            |    928-763-2273
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    Fax                  |    928-704-6785
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Authorized Official
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    Title or Position    |    SR. DIRECTOR
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    Name                 |     PAULA  LALOR 
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    Credential           |    
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    Telephone            |    629-215-3953
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QR0200X
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    Taxonomy Name        |    Radiology Clinic/Center
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    License Number       |    
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    License Number State |    NULL
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