CIGNA HEALTHCARE OF ARIZONA, INC.; NPI #1073627162

Contact Information

CIGNA HEALTHCARE OF ARIZONA, INC.

4001 E BASELINE RD
SUITE 102
GILBERT, AZ 85234-2726

Phone: 480-632-4060
Fax: 480-632-4092
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for CIGNA HEALTHCARE OF ARIZONA, INC.

NPI Number 1073627162

LBN Legal business name CIGNA HEALTHCARE OF ARIZONA, INC.

Authorized official KEVIN ELLIS - (CHIEF MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/18/2006

Last updated 01/28/2014 - About 12 years ago

Identifiers

License #

OSC 3662

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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