Organization · Type 2 NPI

Havasu Regional Medical Center LLC

Emergency Medicine Physician · Lake Havasu City, AZ

NPI number 1972825644 Active

Practice location

1799 Kiowa Ave, # 104
Lake Havasu City, AZ 86403-2881

Call (928) 505-1030 Map

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-4536

Specialties and licenses

Taxonomy	Code	License
Emergency Medicine Physician Primary	207P00000X	APPLIED FOR (AZ)
Internal Medicine Physician	207R00000X	APPLIED FOR (AZ)
Diagnostic Radiology Physician	2085R0202X	APPLIED FOR (AZ)
General Practice Physician	208D00000X	APPLIED FOR (AZ)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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NPI record

NPI: 1972825644
Entity type: Organization (Type 2)
Issued: Feb 23, 2010
Last updated: Apr 25, 2022
Status: Active
Subpart: Yes of Havasu Regional Medical Center LLC

Other names

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HRMC Urgent Care Center · doing business as
HRMC Urgent Care Center · doing business as

Authorized official

Terrance Dillon
Assistant Secretary
(502) 596-7220

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 1972825644

Havasu Regional Medical Center LLC's National Provider Identifier is 1972825644, issued on Feb 23, 2010. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Lake Havasu City, AZ. The record was last updated on Apr 25, 2022.