Organization
LAKE HAVASU CITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESS KNUDSON (CITY MANAGER)
(928) 855-2116
Entity
Organization
Contact information
Practice address
2330 MCCULLOCH BLVD N, LAKE HAVASU CITY, AZ 86403-5950
(928) 855-2116
Mailing address
2330 MCCULLOCH BLVD N, LAKE HAVASU CITY, AZ 86403-5950
(928) 855-2116
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Enumeration date
05/25/2024
Last updated
05/25/2024
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