ARIZONA HEART INSTITUTE LAKE HAVASU NPI 1053512632

NPI Information

NPI: 1053512632
Provider Name: ARIZONA HEART INSTITUTE LAKE HAVASU
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1845 MCCULLOCH BLVD N
SUITE A6
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (520) 505-4442
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ARIZONA HEART INSTITUTE LAKE HAVASU is a cardiovascular disease internal medicine in Lake Havasu City, AZ. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. ARIZONA HEART INSTITUTE LAKE HAVASU NPI is 1053512632. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1845 MCCULLOCH BLVD N
SUITE A6
LAKE HAVASU CITY, AZ
ZIP 86403-759
Phone: (520) 505-4442
Fax: (602) 240-6177

The provider's authorized official is Ken Walsh .
The authorized official title is Cfo and has the following contact phone number (602) 266-2200.

The enumeration date for this NPI number is 5/30/2007 and was last updated on 4/20/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207R00000X	Internal Medicine		No
2	207RI0011X	Internal Medicine	Interventional Cardiology	No
3	207UN0901X	Nuclear Medicine	Nuclear Cardiology	No
4	207RC0000X	Internal Medicine	Cardiovascular Disease	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	ARIZONA	TAX ID#
2	ZWDBMR	MEDICARE PIN	ARIZONA

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

NPI Synchronization or Removal

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