Havasu Regional Medical Center LLC
NPI 1972825644ActiveOrganization· Emergency Medicine· Lake Havasu City, AZ
Emergency Medicine in Lake Havasu City, Arizona, registered in NPPES in February 2010, part of Havasu Regional Medical Center LLC. The authorized official on file is Terrance Dillon, Assistant Secretary.
Overview
| NPI | 1972825644 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Havasu Regional Medical Center LLC |
| NPI issued | Feb 23, 2010 |
| Last updated in NPPES | Apr 25, 2022 |
| Certified by provider | Apr 25, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | APPLIED FOR | AZ |
| Internal Medicine | 207R00000X | APPLIED FOR | AZ |
| Radiology, Diagnostic Radiology | 2085R0202X | APPLIED FOR | AZ |
| General Practice | 208D00000X | APPLIED FOR | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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