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HAVASU REGIONAL MEDICAL CENTER LLC NPI 1063511962


NPI Information

NPI: 1063511962
Provider Name: HAVASU REGIONAL MEDICAL CENTER LLC

Doing Business As: HAVASU REGIONAL MEDICAL CENTER

Classification: Dietitian, Registered - 133V00000X
Entity Type: Organization
Address:
101 CIVIC CENTER LN
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 855-8185
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HAVASU REGIONAL MEDICAL CENTER LLC is a dietitian registered in Lake Havasu City, AZ. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. HAVASU REGIONAL MEDICAL CENTER LLC NPI is 1063511962. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Havasu Regional Medical Center.

The provider's business location address is:

101 CIVIC CENTER LN
LAKE HAVASU CITY, AZ
ZIP 86403-607
Phone: (928) 855-8185
Fax: (928) 505-5768

The provider's authorized official is Charlotte Lawrence .
The authorized official title is Secretary and has the following contact phone number (615) 920-7000.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 7/31/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207L00000XAnesthesiologyNo
2133V00000XDietitian, RegisteredYes

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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