HAVASU MEDICAL CARE NPI 1033109863

NPI Information

NPI: 1033109863
Provider Name: HAVASU MEDICAL CARE
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1955 MCCULLOCH BLVD N
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 453-3007
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HAVASU MEDICAL CARE is a general practice in Lake Havasu City, AZ. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee HAVASU MEDICAL CARE NPI is 1033109863. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1955 MCCULLOCH BLVD N
LAKE HAVASU CITY, AZ
ZIP 86403-748
Phone: (928) 453-3007
Fax: (928) 680-9663

The provider's authorized official is Mary Lou Callerame .
The authorized official title is M.d. and has the following contact phone number (928) 453-3007.

The enumeration date for this NPI number is 10/24/2005 and was last updated on 11/18/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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