Havasu Medical Care

LBN: Havasu Medical Care
Havasu Medical Care is an health care organization with primary practice located at 1955 Mcculloch Blvd N , Lake Havasu City AZ 86403-5748. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Havasu Medical Care can be contacted via phone (928) 453-3007, or through Callerame, Mary Lou via phone (928) 453-3007.

Contact Information

Primary practice address
1955 Mcculloch Blvd N Lake Havasu City AZ 86403-5748
Fax: (928) 680-9663
Website:
Authorized official contact:
Name: Callerame, Mary Lou Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1033109863
LBN Legal business name Havasu Medical Care
DBA Doing business as
Authorized official Callerame, Mary Lou Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2005
Last updated Nov 18th, 2009 - about 15 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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