National Provider Identifier Database

CIGNA HEALTH CARE OF ARIZONA INC
Urgent Care


Contact Information

CIGNA HEALTH CARE OF ARIZONA INC
1840 S STAPLEY DRIVE
SUITE 101
MESA, AZ85204
Phone: 480-464-8500
Fax:
Website:
Specialty Taxonomy Code
* Urgent Care 261QU0200X

* Indicates primary specialty

NPI Profile & details for CIGNA HEALTH CARE OF ARIZONA INC

NPI Number 1467564302
Legal business name
LBN
CIGNA HEALTH CARE OF ARIZONA INC
Authorized official KEVIN ELLIS - (CHIEF MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 08/31/2006
Last updated 06/16/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: OTC 4338
  • AZ Medicaid: 061797

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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