HRMC, LLC
Organization Active NPI Internal Medicine Physician · Lake Havasu City, AZ
NPI 1932610482 · NPPES record last updated Oct 23, 2017
Key facts
- NPI
- 1932610482
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- HRMC, LLC
- Practice address
- 1799 Kiowa Ave Ste 104
Lake Havasu City, AZ 86403-2867 - Phone
- (928) 505-1030
- Fax
- (928) 453-0461
- NPI assigned
- Oct 23, 2017
- Organization subpart
- No
Authorized official
- Name
- Sara L Miller
- Title
- Director
- Phone
- (615) 920-7514
Other NPIs on the same Medicare enrollment 4
Corporate family (same tax ID) 3
Practitioners 68
-
Stephanie R Brison, APRN
-
Kitrin Lance Carpenter, PA-C
-
Roberto De Alba Cervera, M.D.
-
Hitendra Chauhan, M.D.
-
Scott Joseph Coole, D.O.
-
Devin Matthew Cunning, M.D.
-
Mark L Davis, D.O.
-
Teresa Gentry, APRN, C-NP, CWON
-
Terrence Patrick Gleason, M.D.
-
Kristie Grayhek, NP
-
Diane Elizabeth Hindman, MD, PHARMD
-
Valerie Pratt Israel, D.O.
-
Mandy Kwon, NP
-
Jane Lyons, M.D.
-
Michael T Lyster, MD
-
Robin Anne Marquez, FNP-C
-
Steven Massad, MD
-
Julie M. McGuire, PA-C
-
Glenn L Nudelman, M.D.
-
Mandeep Powar, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100508000148 | AZ | Part B Supplier - Clinic/Group Practice | 3072641265 |
Receives reassigned benefits from 71 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lake Havasu City, AZ; Fort Mohave, AZ |
National Provider Directory
- Tax ID family
- HRMC LLC
Locations
1520 E Hammer Ln
Ste 101
Fort Mohave, AZ 86426
Phone (928) 768-4333
1840 Mesquite Ave
Ste A
Lake Havasu City, AZ 86403
Phone (928) 453-0770
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | |||
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | Yes | ||
| Pediatrics Physician |
208000000X | |||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
1799 Kiowa Ave Ste 104
Lake Havasu City, AZ 86403-2867
Mailing address
330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7000
Other names
- Urgent Care of HRMC
Other providers in Lake Havasu City, AZ
- Rebecca Howe
- HRMC, LLC
- HRMC, LLC
- HRMC, LLC
- HRMC, LLC
- Daw Cheng Huang
- Olivia Rose Huard
- Huffman Chiropractic, PLLC
- Paul Shannon Huffman
- Jessica Joy Huss
All providers in Lake Havasu City, AZ · Internal Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.