Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Havasu Regional Medical Center LLC

Organization Emergency Medicine Physician · NPI 1972825644

Havasu Regional Medical Center LLC is an Emergency Medicine Physician in Lake Havasu City, Arizona. Licensed in Arizona. Registered with an NPI since 2010.

Licensed in
AZ
In the registry since
2010
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1799 Kiowa Ave # 104
Lake Havasu City, AZ 86403-2881
Phone: (928) 505-1030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence APPLIED FOR (AZ)
Internal Medicine Physician Taxonomy 207R00000X · Licence APPLIED FOR (AZ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence APPLIED FOR (AZ)
General Practice Physician Taxonomy 208D00000X · Licence APPLIED FOR (AZ)

Record details

NPI number1972825644
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationHavasu Regional Medical Center LLC
Authorized official Terrance Dillon — Assistant Secretary · (502) 596-7220
Other names Hrmc Urgent Care Center; Hrmc Urgent Care Center
NPI enumeratedFebruary 23, 2010
Last updated in NPPESApril 25, 2022
Certification dateApril 25, 2022
Mailing address330 Seven Springs Way, Brentwood, TN 37027-4536

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