Innovative Primary Care Of Havasu Llc

LBN: Innovative Primary Care Of Havasu Llc
Innovative Primary Care Of Havasu Llc is an health care organization with primary practice located at 1945 Mesquite Ave Ste B , Lake Havasu City AZ 86403-5889. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Innovative Primary Care Of Havasu Llc can be contacted via phone (928) 733-6287, or through Arquiza, Loida Loyola via phone (240) 535-0065.

Contact Information

Primary practice address
1945 Mesquite Ave Ste B Lake Havasu City AZ 86403-5889
Phone: (928) 733-6287
Fax: (928) 733-6305
Website:
Map and Directions
Authorized official contact:
Name: Arquiza, Loida Loyola Nurse Practitioner (NP)
Phone: (240) 535-0065

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1619633088
LBN Legal business name Innovative Primary Care Of Havasu Llc
DBA Doing business as
Authorized official Arquiza, Loida Loyola Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2021
Last updated Nov 10th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619633088 NPPES
Arizona Other 258797 ARIZONA NP LICENSE

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