Havasu Emergency Physicians, Pc

LBN: Havasu Emergency Physicians, Pc
Havasu Emergency Physicians, Pc is an health care organization with primary practice located at 101 Civic Center Ln , Lake Havasu City AZ 86403-5607. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Havasu Emergency Physicians, Pc can be contacted via phone (928) 453-0150, or through Gulyanics, Debra A. via phone (928) 453-0150.

Contact Information

Primary practice address
101 Civic Center Ln Lake Havasu City AZ 86403-5607
Phone: (928) 453-0150
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gulyanics, Debra A. Doctor of Osteopathy (DO)
Phone: (928) 453-0150

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X

Profile Details

NPI number 1023113966
LBN Legal business name Havasu Emergency Physicians, Pc
DBA Doing business as
Authorized official Gulyanics, Debra A. Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2006
Last updated Feb 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023113966 NPPES
Arizona Other 423632 AHCCCS
Arizona MEDICAID XGG007110 AHCCCS

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