# LAKE HAVASU COMMUNITY HEALTH CENTER LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COMMUNITY HEALTH DEVELOPMENT PARTNERS, LLC
- **Other names:** Lake havasu community health center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1588434443
- **Legal business name:** COMMUNITY HEALTH DEVELOPMENT PARTNERS, LLC
- **Authorized official:** COURTNEY STANSBURY RN (CHIEF NURSING OFFICER)
- **Authorized official phone:** (928) 938-4325

## Contact information

- **Practice address:** 5601 HIGHWAY 95 N STE 702, LAKE HAVASU CITY, AZ 86404-8551
- **Practice address phone:** (928) 938-4325
- **Mailing address:** 5601 HIGHWAY 95 N STE 702, LAKE HAVASU CITY, AZ 86404-8551
- **Mailing address phone:** (928) 938-4325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/03/2024
- **Last updated:** 03/24/2025