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ARIZONA FAMILY MEDICINE PC NPI 1548426489


NPI Information

NPI: 1548426489
Provider Name: ARIZONA FAMILY MEDICINE PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2082 MESQUITE AVE
SUITE A106
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 680-4233
Get Directions

ARIZONA FAMILY MEDICINE PC is a family medicine in Lake Havasu City, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ARIZONA FAMILY MEDICINE PC NPI is 1548426489. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2082 MESQUITE AVE
SUITE A106
LAKE HAVASU CITY, AZ
ZIP 86403-710
Phone: (928) 680-4233
Fax: (928) 680-6522

The provider's authorized official is R Douglas Hade .
The authorized official title is Owner and has the following contact phone number (928) 680-4233.

The enumeration date for this NPI number is 7/30/2008 and was last updated on 8/29/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine18114ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11Z9241OTHERARIZONAHEALTH NET
2080153530OTHERARIZONARAILROAD MEDICARE
3016122MEDICAIDARIZONA
4Z24643OTHERARIZONAMEDICARE GROUP #
5E71626MEDICARE UPINARIZONA
6AZ0327480OTHERARIZONABLUE CROSS BLUE SHIELD

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: 4/28/2024

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