Smith Tryon Family Health Inc D.B.A. Blue Water Medical
LBN: Smith Tryon Family Health Inc D.B.A. Blue Water Medical
Smith Tryon Family Health Inc D.B.A. Blue Water Medical is an health care organization with primary practice located at 1801 Mesquite Ave , Lake Havasu City AZ 86403-5664. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Smith Tryon Family Health Inc D.B.A. Blue Water Medical can be contacted via phone (928) 453-6963, or through Smith Tryon, Elizabeth Anne via phone (928) 453-6963.
Contact Information
Primary practice address
1801 Mesquite Ave
Lake Havasu City AZ 86403-5664
Phone: (928) 453-6963
Fax: (928) 453-7015
Website:
Authorized official contact:
Name: Smith Tryon, Elizabeth Anne Doctor of Medicine (MD)
Phone: (928) 453-6963
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35026 | Arizona |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35026 | Arizona |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 2768 | Arizona |
Profile Details
NPI number | 1336104462 |
---|---|
LBN Legal business name | Smith Tryon Family Health Inc D.B.A. Blue Water Medical |
DBA Doing business as | |
Authorized official | Smith Tryon, Elizabeth Anne Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 20th, 2006 |
Last updated | Sep 27th, 2010 - 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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