Lake Havasu Ob/Gyn, Pc

LBN: Lake Havasu Ob/Gyn, Pc
Lake Havasu Ob/Gyn, Pc is an health care organization with primary practice located at 99 Riviera Dr , Lake Havasu City AZ 86403-5713. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Lake Havasu Ob/Gyn, Pc can be contacted via phone (928) 680-2846, or through Urso, Mary Jo Vita via phone (928) 680-2846.

Contact Information

Primary practice address
99 Riviera Dr Lake Havasu City AZ 86403-5713
Phone: (928) 680-2846
Fax: (928) 680-2845
Website:
Map and Directions
Authorized official contact:
Name: Urso, Mary Jo Vita Doctor of Osteopathy (DO)
Phone: (928) 680-2846

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 3696 Arizona
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 20A8265 California

Profile Details

NPI number 1598944811
LBN Legal business name Lake Havasu Ob/Gyn, Pc
DBA Doing business as
Authorized official Urso, Mary Jo Vita Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2007
Last updated Feb 29th, 2012 - about 12 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 1598944811 NPPES
Arizona MEDICAID 434157

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