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PRIMA MEDICAL CARE LLC
NPI 1467225789
General Practice in Lake Havasu City, AZ

Active since October 30, 2023
99 RIVIERA DR, LAKE HAVASU CITY, AZ 86403(928) 302-3798 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 3, 2024, Jul 5, 2024, Apr 17, 2024 and 1 more (4 updates tracked since 2023).

About Prima Medical Care Llc NPPES

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

PRIMA MEDICAL CARE LLC (NPI 1467225789) is a healthcare organization registered as a general practice in Lake Havasu City, Arizona and active in the NPI registry since October 2023. The organization maintains a secondary practice location in Kingman and lists Katie Jean Colonna, Owner, as its authorized official.

NPPES Registry Identity

NPI1467225789
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePRIMA MEDICAL CARE LLC
Location Address99 RIVIERA DRLake Havasu City, AZ 86403-5713
Mailing Address99 Riviera DrLake Havasu City, AZ 86403-5713 · (928) 302-3798
Phone(928) 302-3798
Organization SubpartNo
Authorized OfficialKatie Jean ColonnaOwner · (928) 302-3798
Enumeration DateOctober 30, 2023
Last NPPES UpdateOctober 3, 20244 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
✔ NPI 1467225789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
99 RIVIERA DR, Lake Havasu City, AZ 86403
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Secondary Practice Location 1

Location 11847 Pacific AveKingman, AZ 86401-4026 · Phone (928) 302-3798

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 2

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

LAKE HAVASU OB/GYN, PC
Clinic/Center (Medical Specialty)
99 RIVIERA DR
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 680-2846
EDWARD J. QUINN, M.D.
Specialist
99 RIVIERA DR
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 855-5090

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 Prima Medical Care LLC's NPI number?

The NPI number for Prima Medical Care LLC is 1467225789. It was assigned to this organization in the NPPES registry on October 30, 2023.

Where is Prima Medical Care LLC located?

Prima Medical Care LLC is located at 99 Riviera Dr, Lake Havasu City, AZ 86403. The listed phone number is (928) 302-3798.

What is Prima Medical Care LLC'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 Prima Medical Care LLC was last updated on October 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.