MEDICARE: SAN LUIS WALK-IN CLINIC, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1659949543
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAN LUIS WALK-IN CLINIC, INC.

Provider Business Mailing Address
First Line	:	PO BOX 617
Second Line	:
City	:	SOMERTON
State	:	AZ
Zip	:	85350-0617
Country	:	US
Telephone Number	:	928-315-7910
Fax Number	:	928-722-6113

Provider Business Practice Location Address
First Line	:	1940 MESQUITE AVE
Second Line	:
City	:	LAKE HAVASU CITY
State	:	AZ
Zip	:	86403-6123
Country	:	US
Telephone Number	:	928-453-9596
Fax Number	:	928-680-3434

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	AMANDA AGUIRRE
Credential	:
Telephone Number	:	928-315-7910

Provider Enumeration Date	:	06/16/2021
Last Update Date	:	03/28/2025

Similar Medicare Providers

1841507118 — DR. LISA MARIE MCAFEE D.O.
Practice Location Address:

1940 MESQUITE AVE
LAKE HAVASU CITY, AZ
86403-6123

Practice Phone: 928-459-3512
Practice Fax:

1295212660 — NICHOLAS BEARD LPC
Practice Location Address:

1940 MESQUITE AVE STE O
LAKE HAVASU CITY, AZ
86403-6123

Practice Phone: 928-732-0470
Practice Fax: 928-756-0580

1811545536 — RTA HOSPICE, LLC
Practice Location Address:

1940 MESQUITE AVE STE I
LAKE HAVASU CITY, AZ
86403-6123

Practice Phone: 928-302-2251
Practice Fax: 866-955-8548

1598385825 — MARGORIE EDITH ALLDREDGE
Practice Location Address:

1940 MESQUITE AVE STE P
LAKE HAVASU CITY, AZ
86403-6123

Practice Phone: 928-486-3989
Practice Fax:

1760148332 — RTA HOSPICE, LLC
Practice Location Address:

1940 MESQUITE AVE STE 1
LAKE HAVASU CITY, AZ
86403-6123

Practice Phone: 928-302-2251
Practice Fax: 866-955-8548

1598414096 — PETER WALMY ST LOUIS ANGERVIL
Practice Location Address:

1940 MESQUITE AVE
LAKE HAVASU CITY, AZ
86403-6123

Practice Phone: 928-459-3512
Practice Fax:

Directions to “SAN LUIS WALK-IN CLINIC, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.