Organization
HAVASU REGIONAL MEDICAL CENTER LLC
Active
Parent organization
HAVASU REGIONAL MEDICAL CENTER LLC
Other names
HRMC Urgent Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
HAVASU REGIONAL MEDICAL CENTER LLC
Authorized official
TERRANCE DILLON (ASSISTANT SECRETARY)
(502) 596-7220
Entity
Organization
Contact information
Practice address
1799 KIOWA AVE, # 104, LAKE HAVASU CITY, AZ 86403-2881
(928) 505-1030
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-4536
(615) 920-7000
(615) 920-8913
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
APPLIED FOR
AZ
207R00000X
Internal Medicine Physician
APPLIED FOR
AZ
2085R0202X
Diagnostic Radiology Physician
APPLIED FOR
AZ
208D00000X
General Practice Physician
APPLIED FOR
AZ
Other
Enumeration date
02/23/2010
Last updated
04/25/2022
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