Organization
SAN LUIS WALK-IN CLINIC, INC.
Active
Organization
SAN LUIS WALK-IN CLINIC, INC.
Active
Other names
LAKE HAVASU PEDIATRIC FAMILY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA AGUIRRE (PRESIDENT & CEO)
(928) 315-7910
Entity
Organization
Contact information
Practice address
1980 MESQUITE AVE, LAKE HAVASU CITY, AZ 86403-7713
(928) 392-3691
(928) 392-3693
Mailing address
PO BOX 617, SOMERTON, AZ 85350-0617
(928) 315-7910
(928) 722-6113
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/15/2022
Last updated
09/01/2026
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