National Provider Identifier Database

MAGELLAN HEALTH SERVICES OF ARIZONA INC
Urgent Care


Contact Information

MAGELLAN HEALTH SERVICES OF ARIZONA, INC.
903 N 2ND ST
PHOENIX, AZ85004-1906
Phone: 602-416-7600
Fax:
Website:
Specialty Taxonomy Code
* Urgent Care 261QU0200X

* Indicates primary specialty

NPI Profile & details for MAGELLAN HEALTH SERVICES OF ARIZONA, INC.

NPI Number 1124145842
Legal business name
LBN
MAGELLAN HEALTH SERVICES OF ARIZONA, INC.
Authorized official CHRIS CARSON - (CEO)
Entity Organization
Organization subpart No
Enumeration date 03/26/2007
Last updated 09/20/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: BH2691
  • AZ Medicaid: 127960

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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