SAN LUIS WALK-IN CLINIC INC. NPI 1154051753

NPI Information

NPI: 1154051753
Provider Name: SAN LUIS WALK-IN CLINIC, INC.

Doing Business As: LAKE HAVASU PEDIATRIC FAMILY CLINIC

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1980 MESQUITE AVE
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 392-3691
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SAN LUIS WALK-IN CLINIC, INC. is a multi-specialty clinic center in Lake Havasu City, AZ. SAN LUIS WALK-IN CLINIC, INC. NPI is 1154051753. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake Havasu Pediatric Family Clinic.

The provider's business location address is:

1980 MESQUITE AVE
LAKE HAVASU CITY, AZ
ZIP 86403-713
Phone: (928) 392-3691
Fax: (928) 392-3693

The provider's authorized official is Amanda Aguirre .
The authorized official title is President & Ceo and has the following contact phone number (928) 315-7910.

The enumeration date for this NPI number is 6/15/2022 and was last updated on 9/7/2023.

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	261QM1300X	Clinic/Center	Multi-Specialty			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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