HAVASU SURGERY CENTER – NPI #1386619484
Clinic/Center

HAVASU SURGERY CENTER is an AHC clinic located in LAKE HAVASU CITY, AZ. NPPES has assigned the NPI number 1386619484 to HAVASU SURGERY CENTER on February 22, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HAVASU SURGERY CENTER below.

NPI Profile for
HAVASU SURGERY CENTER

NPI Number
1386619484
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HAVASU SURGERY CENTER
Doing Business As (dba): HAVASU SURGERY CENTER
Primary location
1775 MCCULLOCH BLVD
LAKE HAVASU CITY, AZ 86403
Phone: (928) 453-4200 Fax: (928) 453-8271
Mailing address
103 POWELL CT
STE. 200
BRENTWOOD, TN 37027-5079
Phone: (615) 372-8500 Fax: (615) 372-8572
Organization Subpart
No
Authorized Official
WILLIAM GRACEY
COO
Phone: (615) 372-8500
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)
AZ OSC2912

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.