MAGELLAN HEALTH SERVICES OF ARIZONA, INC.; NPI #1124145842

Contact Information

MAGELLAN HEALTH SERVICES OF ARIZONA, INC.

903 N 2ND ST
PHOENIX, AZ 85004-1906

Phone: 602-416-7600
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Urgent Care	261QU0200X

Indicates primary specialty

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

NPI Number 1124145842

LBN Legal business name MAGELLAN HEALTH SERVICES OF ARIZONA, INC.

Authorized official CHRIS CARSON - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/26/2007

Last updated 09/20/2007 - About 19 years ago

Identifiers

AZ	License #	BH2691
AZ	Medicaid	127960

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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