Havasu Surgery Center

LBN: Havasu Regional Medical Center Llc
Havasu Surgery Center is an health care organization with primary practice located at 1775 Mcculloch Blvd N , Lake Havasu City AZ 86403-6549. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Havasu Regional Medical Center Llc can be contacted via phone (928) 855-8185, or through Teague, Kathy J. via phone (615) 920-7000.

Contact Information

Primary practice address
1775 Mcculloch Blvd N Lake Havasu City AZ 86403-6549
Phone: (928) 855-8185
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Teague, Kathy J.
Phone: (615) 920-7000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1467673293
LBN Legal business name Havasu Regional Medical Center Llc
DBA Doing business as Havasu Surgery Center
Authorized official Teague, Kathy J.
Entity Organization
Organization subpart 1 Yes
Enumeration date May 1st, 2007
Last updated Jul 26th, 2019 - about 6 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 1467673293 NPPES
Arizona MEDICAID 231644

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