OrganizationActive
Havasu Regional Medical Center LLC
NPI 1467673293 · Ambulatory Surgical Clinic/Center · Lake Havasu City, AZ
Provider details
- NPI number
- 1467673293
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Havasu Regional Medical Center LLC
- Organization subpart
- Yes
- Authorized official
- Kathy Teague, Secretary(615) 920-7000
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1775 Mcculloch Blvd N
Lake Havasu City, AZ 86403-6549
Phone: (928) 855-8185
Street-level locationGet directions
Mailing address
330 Seven Springs Way
Brentwood, TN 37027-4536
Other names (DBA / former)
- Doing business as
- Havasu Surgery Center
- Doing business as
- Havasu Surgery Center
Registry dates
- Enumerated
- 2007-05-01
- Last updated
- 2019-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.