# HAVASU REGIONAL MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HAVASU REGIONAL MEDICAL CENTER, LLC
- **Other names:** Havasu Regional Medical Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093154130
- **Legal business name:** HAVASU REGIONAL MEDICAL CENTER, LLC
- **Authorized official:** CHARLOTTE LAWRENCE (SECRETARY)
- **Authorized official phone:** (615) 920-7000

## Contact information

- **Practice address:** 1811 MESQUITE AVE, LAKE HAVASU CITY, AZ 86403-5668
- **Practice address phone:** (928) 505-5793
- **Practice address fax:** (928) 505-5799
- **Mailing address:** 330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
- **Mailing address phone:** (615) 920-7000
- **Mailing address fax:** (615) 920-8913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/21/2013
- **Last updated:** 07/31/2023