Organization · Type 2 NPI

San Luis Walk-In Clinic, Inc.

Rural Health Clinic/Center · Lake Havasu City, AZ

NPI number 1154051753 Active

Practice location

1980 Mesquite Ave Ste 103
Lake Havasu City, AZ 86403-7713

Call (928) 392-3691 Map

Fax (928) 392-3693

Mailing address

PO Box 617
Somerton, AZ 85350-0617

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center	261QM1300X	None listed
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

NPI record

NPI: 1154051753
Entity type: Organization (Type 2)
Issued: Jun 15, 2022
Last updated: Oct 20, 2026
Status: Active

Other names

<unavail>
Lake Havasu Pediatric Family Clinic · doing business as
Lake Havasu Pediatric Family Clinic · doing business as

Authorized official

Amanda Aguirre
President & CEO
(928) 315-7910

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1154051753

San Luis Walk-In Clinic, Inc.'s National Provider Identifier is 1154051753, issued on Jun 15, 2022. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Lake Havasu City, AZ. The record was last updated on Oct 20, 2026.