NPIMap

Organization Active NPI

HRMC, LLC

Doing business as Urgent Care of HRMC

  • Internal Medicine Physician
  • Lake Havasu City, AZ
National Provider Identifier
1932610482
Registry record updated Oct 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HRMC, LLC
Doing business as
Urgent Care of HRMC
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
Last updated
Oct 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2017

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

Authorized official

Name
Sara L Miller
Title
Director
Phone
(615) 920-7514

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 1

  • Urgent Care of HRMC 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
This NPI is an additional NPI on the 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 Cancer Care of Western Arizona

    • Hematology & Oncology Physician
    • Lake Havasu City, AZ
    • NPI 1003139387

    O20100508000148

    Same enrollment
  • 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

National Provider Directory

National Provider Directory
Tax ID family
HRMC LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

  • HRMC, LLC

    dba Specialty Associates

    • Internal Medicine Physician
    • Lake Havasu City, AZ
    • NPI 1447630538
    NPD tax ID
  • HRMC, LLC

    dba Mohave Infectious Disease & Internal Medicine

    • Infectious Disease Physician
    • Lake Havasu City, AZ
    • NPI 1487007498
    NPD tax ID
  • HRMC, LLC

    dba Diabetes and Endocrine Center

    • Nurse Practitioner
    • Lake Havasu City, AZ
    • NPI 1891155974
    NPD tax ID

Locations

5300 S Highway 95
Ste D
Fort Mohave, AZ 86426
Phone (928) 788-3609

1840 Mesquite Ave
Ste C
Lake Havasu City, AZ 86403
Phone (928) 453-8500

1851 Mesquite Ave
Ste 112
Lk Havasu Cty, AZ 86403
Phone (928) 505-4661

Practitioners & affiliated clinicians

Practitioners 68

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 68

NPI Registry JSON

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508716800000",
    "number": "1932610482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "615-920-7000",
            "fax_number": "615-920-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 KIOWA AVE STE 104",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864032867",
            "telephone_number": "928-505-1030",
            "fax_number": "928-453-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HRMC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-10-23",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-920-7514"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urgent Care of HRMC",
            "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 Oct 23, 2017; 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.