NPIMap

Organization Active NPI

HRMC, LLC

Doing business as Cancer Care of Western Arizona

  • Hematology & Oncology Physician
  • Lake Havasu City, AZ
National Provider Identifier
1003139387
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
HRMC, LLC
Doing business as
Cancer Care of Western Arizona
Practice address
101 Civic Center LN
Lake Havasu City, AZ 86403-5607
Phone
(928) 453-3761
Fax
(928) 453-3771
NPI assigned
Mar 1, 2010
Last updated
Jun 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Donald J Bivacca
Title
President
Phone
(615) 372-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X NU Primary

Addresses

Primary practice location

101 Civic Center LN
Lake Havasu City, AZ 86403-5607

Mailing address

101 Civic Center LN
Lake Havasu City, AZ 86403-5607
Phone (928) 453-3761

Other names 1

  • Cancer Care of Western Arizona Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100508000148 AZ Part B Supplier - Clinic/Group Practice 3072641265 Receives reassigned benefits from 71 practitioners
4 other NPIs on this enrollment
Practice locations: Lake Havasu City, AZ; Fort Mohave, AZ

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

  • HRMC, LLC

    dba Specialty Associates

    • Internal Medicine Physician
    • Lake Havasu City, AZ
    • NPI 1447630538

    O20100508000148

    Same enrollment
  • HRMC, LLC

    dba Mohave Infectious Disease & Internal Medicine

    • Infectious Disease Physician
    • Lake Havasu City, AZ
    • NPI 1487007498

    O20100508000148

    Same enrollment
  • HRMC, LLC

    dba Diabetes and Endocrine Center

    • Nurse Practitioner
    • Lake Havasu City, AZ
    • NPI 1891155974

    O20100508000148

    Same enrollment
  • HRMC, LLC

    dba Urgent Care of HRMC

    • Internal Medicine Physician
    • Lake Havasu City, AZ
    • NPI 1932610482

    O20100508000148

    Same enrollment

National Provider Directory

National Provider Directory

Locations

1760 McCulloch Blvd N
Lk Havasu Cty, AZ 86403
Phone (928) 854-5368

1840 Mesquite Ave
Ste G
Lk Havasu Cty, AZ 86403
Phone (928) 453-2663

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19231/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 73

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 73

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1003139387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CIVIC CENTER LN",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035607",
            "telephone_number": "928-453-3761",
            "fax_number": "928-453-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CIVIC CENTER LN",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035607",
            "telephone_number": "928-453-3761",
            "fax_number": "928-453-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HRMC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "BIVACCA",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-372-8500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cancer Care of Western Arizona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Havasu City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.