HAVASU SURGERY CENTER NPI 1386619484

NPI Information

NPI: 1386619484
Provider Name: HAVASU SURGERY CENTER

Doing Business As: HAVASU SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1775 MCCULLOCH BLVD
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 453-4200
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HAVASU SURGERY CENTER is an ambulatory surgical clinic center in Lake Havasu City, AZ. HAVASU SURGERY CENTER NPI is 1386619484. The provider is registered as an organization entity type.
The provider Is Doing Business As Havasu Surgery Center.

The provider's business location address is:

1775 MCCULLOCH BLVD
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 453-4200
Fax: (928) 453-8271

The provider's authorized official is William M. Gracey .
The authorized official title is Coo and has the following contact phone number (615) 372-8500.

The enumeration date for this NPI number is 2/22/2006 and was last updated on 8/22/2020.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	OSC2912	ARIZONA	Yes

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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