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

Havasu Surgery Center

Organization Ambulatory Surgical Clinic/Center · NPI 1386619484

Havasu Surgery Center is an Ambulatory Surgical Clinic/Center in Lake Havasu City, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
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Practice location Address checks out

1775 McCulloch Blvd
Lake Havasu City, AZ 86403
Phone: (928) 453-4200
Fax: (928) 453-8271
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence OSC2912 (AZ)

Record details

NPI number1386619484
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Gracey — Coo · (615) 372-8500
Other names Havasu Surgery Center
NPI enumeratedFebruary 22, 2006
Last updated in NPPESAugust 22, 2020
Mailing address103 Powell Ct, Ste. 200, Brentwood, TN 37027-5079

Other providers in Lake Havasu City