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Panacea Brain and Spine, LLC

Non-Pharmacy Dispensing Site in Lake Havasu City, AZ · enumerated 2013 · authorized official Chad Hartley, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154765121

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Registry record

Entity type Organization (Type 2)
Legal business name Panacea Brain and Spine, LLC
Parent organization Panacea Brain and Spine, LLC
Practice address 297 Lake Havasu Ave S, Suite 204, Lake Havasu City, AZ, 86403
Phone (928) 453-2211
Enumeration date Apr 22, 2013
Last updated in NPPES Apr 22, 2013

Taxonomy & classification

332900000X Non-Pharmacy Dispensing Site Suppliers Primary

Authorized official

Name Chad Hartley
Title Owner
Phone (928) 453-2211

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Panacea Brain and Spine, LLC?
Panacea Brain and Spine, LLC is registered in NPPES as a Non-Pharmacy Dispensing Site (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-04-22.