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ARIZONA HEART INSTITUTE LAKE HAVASU
NPI 1053512632
Internal Medicine - Cardiovascular Disease in Lake Havasu City, AZ

Active since May 30, 2007
1845 MCCULLOCH BLVD N, SUITE A6, LAKE HAVASU CITY, AZ 86403(520) 505-4442(602) 240-6177 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Arizona Heart Institute Lake Havasu NPPES

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

ARIZONA HEART INSTITUTE LAKE HAVASU (NPI 1053512632) is a healthcare organization registered as a cardiovascular disease in Lake Havasu City, Arizona and active in the NPI registry since May 2007. The organization lists Ken Walsh, Cfo, as its authorized official.

NPPES Registry Identity

NPI1053512632
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameARIZONA HEART INSTITUTE LAKE HAVASU
Location Address1845 MCCULLOCH BLVD N, SUITE A6Lake Havasu City, AZ 86403-6759
Mailing AddressPo Box 61773Phoenix, AZ 85082-1773 · (602) 682-6727 · Fax (602) 240-6177
Phone(520) 505-4442
Fax(602) 240-6177
Organization SubpartYesParent: Arizona Heart Institute Ltd
Authorized OfficialKen WalshCfo · (602) 266-2200
Enumeration DateMay 30, 2007
Last NPPES UpdateApril 20, 2008
✔ NPI 1053512632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X
1845 MCCULLOCH BLVD N, Lake Havasu City, AZ 86403
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Other Identifiers 1

Medicare PINZWDBMRAZ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUNE STALEY PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1845 MCCULLOCH BLVD N, SUITE B-1
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 453-2661

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 Arizona Heart Institute Lake Havasu's NPI number?

The NPI number for Arizona Heart Institute Lake Havasu is 1053512632. It was assigned to this organization in the NPPES registry on May 30, 2007.

Where is Arizona Heart Institute Lake Havasu located?

Arizona Heart Institute Lake Havasu is located at 1845 Mcculloch Blvd N Suite A6, Lake Havasu City, AZ 86403. The listed phone number is (520) 505-4442.

What is Arizona Heart Institute Lake Havasu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Arizona Heart Institute Lake Havasu was last updated on April 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.