HAVASU FOOT & ANKLE CENTER NPI 1174582829

NPI Information

  • NPI: 1174582829
  • Provider Name: HAVASU FOOT & ANKLE CENTER
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Other Name: HAVASU FOOT & ANKLE SURGICENTER
  • Address: 90 RIVIERA DR
    LAKE HAVASU CITY, AZ
    ZIP 86403
  • Phone: (928) 855-7800

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NPI Details

HAVASU FOOT & ANKLE CENTER is an ambulatory surgical clinic center in Lake Havasu City, AZ. HAVASU FOOT & ANKLE CENTER NPI is 1174582829. The provider is registered as an organization entity type.
The provider Other Name Is Havasu Foot & Ankle Surgicenter.

The provider's business location address is:

90 RIVIERA DR
LAKE HAVASU CITY, AZ
ZIP 86403-716
Phone: (928) 855-7800
Fax: (928) 855-5392

The provider's authorized official is Barbara Novack .
The authorized official title is Office Manager and has the following contact phone number (928) 855-7800.

The enumeration date for this NPI number is 3/21/2006 and was last updated on 6/17/2008.

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 License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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
1490002545OTHERMETRAHEALTH MEDICARE RR
2Z3C0001048MEDICARE PIN
3=========001OTHERTRICARE TRIWEST

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: 11/21/2025

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