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HAVASU MEDICAL CARE
NPI 1033109863
General Practice in Lake Havasu City, AZ

Active since October 24, 2005
1955 MCCULLOCH BLVD N, LAKE HAVASU CITY, AZ 86403(928) 453-3007(928) 680-9663 Get Directions Write a Review

NPPES record last updated: November 18, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Havasu Medical Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAVASU MEDICAL CARE (NPI 1033109863) is a healthcare organization registered as a general practice in Lake Havasu City, Arizona and active in the NPI registry since October 2005. The organization lists Mary Lou Callerame, M.d., as its authorized official.

NPPES Registry Identity

NPI1033109863
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameHAVASU MEDICAL CARE
Location Address1955 MCCULLOCH BLVD NLake Havasu City, AZ 86403-5748
Mailing Address1955 Mcculloch Blvd NLake Havasu City, AZ 86403-5748 · (928) 453-3007 · Fax (928) 680-9663
Phone(928) 453-3007
Fax(928) 680-9663
Organization SubpartNo
Authorized OfficialMary Lou CallerameM.d. · (928) 453-3007
Enumeration DateOctober 24, 2005
Last NPPES UpdateNovember 18, 2009
✔ NPI 1033109863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1955 MCCULLOCH BLVD N, Lake Havasu City, AZ 86403
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Havasu Medical Care's NPI number?

The NPI number for Havasu Medical Care is 1033109863. It was assigned to this organization in the NPPES registry on October 24, 2005.

Where is Havasu Medical Care located?

Havasu Medical Care is located at 1955 Mcculloch Blvd N, Lake Havasu City, AZ 86403. The listed phone number is (928) 453-3007.

What is Havasu Medical Care's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Havasu Medical Care was last updated on November 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.