Organization
HAVASU REGIONAL MEDICAL CENTER LLC
Active
Other names
Havasu Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE LAWRENCE (SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
101 CIVIC CENTER LN, LAKE HAVASU CITY, AZ 86403-5607
(928) 855-8185
(928) 505-5778
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7000
(615) 920-8913
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
H4027
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16620040
FECA
AZ
05
—
445131
—
AZ
05
—
XHSP33227
—
CA
05
—
XHSP43227
—
CA
Enumeration date
11/01/2006
Last updated
07/31/2023
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