Data Breach Notifications

Entity Information

  • Type of Organization: Healthcare
  • Entity Name: FPS Medical Center
  • Street Address: 297 South Lake Havasu Avenue, Suite 204
  • City: Lake Havasu City
  • State, or Country if outside the US: Arizona
  • Zip Code: 86403

Submitted By

  • Name: Katie Patrick
  • Title: Officer Manager
  • Firm name (if different than entity):
  • Telephone Number: 928-453-1970
  • Email Address: kpatrick@fpsmedical.net
  • Relationship to entity whose information was compromised: Officer Manager

Breach Information

  • Total number of persons affected (including residents): 28,024
  • Total number of Maine residents affected: 12
  • If the number of Maine residents exceeds 1,000, have the consumer reporting agencies been notified:
  • Date(s) Breach Occured: 02/28/2022
  • Date Breach Discovered: 03/03/2022
  • Description of the Breach:
    • External system breach (hacking)
  • Information Acquired - Name or other personal identifier in combination with: Driver's License Number or Non-Driver Identification Card Number

Notification and Protection Services

  • Type of Notification: Written
  • Date(s) of consumer notification: 05/06/2022
  • Copy of notice to affected Maine residents: Notice of Data Event - FPS - ME.pdf
  • Date of any previous (within 12 months) breach notifications:
  • Were identity theft protection services offered: No
  • If yes, please provide the duration, the provider of the service and a brief description of the service: