Convergence Health LLC
NPI 1699576066ActiveOrganization· General Practice· Lake Havasu City, AZ
General Practice in Lake Havasu City, Arizona, registered in NPPES in March 2025. The authorized official on file is Courtney Stansbury, Cno/Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1699576066 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 21, 2025 |
| Last updated in NPPES | Mar 24, 2025 |
| Certified by provider | Mar 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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