Havasu Cardiac Surgery Pc
LBN: Havasu Cardiac Surgery Pc
Havasu Cardiac Surgery Pc is an health care organization with primary practice located at 101 Civic Center Ln Attn: Havasu Cardiac Surgery, Lake Havasu City AZ 86403-5607. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as the primary health care specialty.
Havasu Cardiac Surgery Pc can be contacted via phone (928) 854-0090, or through Tibi, Pierre R via phone (602) 253-9168.
Contact Information
Primary practice address
101 Civic Center Ln Attn: Havasu Cardiac Surgery
Lake Havasu City AZ 86403-5607
Phone: (928) 854-0090
Fax: (928) 453-0671
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X |
Profile Details
| NPI number | 1679502470 |
|---|---|
| LBN Legal business name | Havasu Cardiac Surgery Pc |
| DBA Doing business as | |
| Authorized official | Tibi, Pierre R Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 2nd, 2006 |
| Last updated | Mar 10th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679502470 | NPPES |
| Arizona | MEDICAID | 117724 |
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