| Vip Iv & Medical Spa, Llc | |
|
1690 Mcculloch Blvd N Ste 102 Lake Havasu City AZ 86403-6560 | |
| (480) 404-4896 | |
| (480) 400-1063 |
| Full Name | Vip Iv & Medical Spa, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1690 Mcculloch Blvd N Ste 102, Lake Havasu City, Arizona |
| Authorized Official Name and Position | Kelley Robin Farley (OWNER, FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 4804044896 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vip Iv & Medical Spa, Llc 1747 Los Lagos Dr Lake Havasu City AZ 86403-6625 Ph: (480) 404-4896 | Vip Iv & Medical Spa, Llc 1690 Mcculloch Blvd N Ste 102 Lake Havasu City AZ 86403-6560 Ph: (480) 404-4896 |
| NPI Number | 1447932280 |
|---|---|
| Provider Enumeration Date | 08/02/2023 |
| Last Update Date | 01/11/2024 |
| Medicare PECOS PAC ID | 3870948722 |
|---|---|
| Medicare Enrollment ID | O20231012000578 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447932280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kelley Robin Farley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861963845 PECOS PAC ID: 9335489459 Enrollment ID: I20190327000577 |
Rheumatology & Arthritis Consultants, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1980 Mesquite Ave, Suite 103, Lake Havasu City, AZ 86403 Phone: 928-680-4255 Fax: 928-680-4256 | |
Havasu Medical Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1955 Mcculloch Blvd N, Lake Havasu City, AZ 86403 Phone: 928-453-3007 Fax: 928-680-9663 | |
North Country Healthcare, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2090 N. Smoketree Ave, Lake Havasu City, AZ 86403 Phone: 928-854-1800 Fax: 928-854-1818 | |
Palo Verde Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1851 Mesquite Ave, Suite 106, Lake Havasu City, AZ 86403 Phone: 298-208-4611 Fax: 928-453-4645 | |
Frederic Luo, Md, Msee, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 Mesquite Ave, Suite 102, Lake Havasu City, AZ 86403 Phone: 480-888-1900 Fax: 480-888-1934 | |
Arizona Heart Institute Lake Havasu Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1845 Mcculloch Blvd N, Suite A6, Lake Havasu City, AZ 86403 Phone: 520-505-4442 Fax: 602-240-6177 | |
Lakeview Family Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2090 Smoketree Ave N, Lake Havasu City, AZ 86403 Phone: 928-854-1800 Fax: 928-854-1818 |