Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Havasu Regional Medical Center LLC

Emergency Medicine Physician in Lake Havasu City, AZ · enumerated 2010 · authorized official Terrance Dillon, Assistant Secretary.

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

National Provider Identifier

1972825644

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Registry record

Entity type Organization (Type 2)

Legal business name Havasu Regional Medical Center LLC

Other name <Unavail>

Parent organization Havasu Regional Medical Center LLC

Practice address 1799 Kiowa Ave, # 104, Lake Havasu City, AZ, 86403

Phone (928) 505-1030

Enumeration date Feb 23, 2010

Last updated in NPPES Apr 25, 2022

Taxonomy & classification

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License APPLIED FOR (AZ) Primary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License APPLIED FOR (AZ) Secondary

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License APPLIED FOR (AZ) Secondary

208D00000X General Practice Physician Allopathic & Osteopathic Physicians · License APPLIED FOR (AZ) Secondary

Authorized official

Name Terrance Dillon

Title Assistant Secretary

Phone (502) 596-7220

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.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Havasu Regional Medical Center LLC located?

The practice location on file with NPPES is in Lake Havasu City, AZ.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-04-25. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-04-25.