CIGNA HEALTH CARE OF ARIZONA INC; NPI #1467564302

Contact Information

CIGNA HEALTH CARE OF ARIZONA INC

1840 S STAPLEY DRIVE
SUITE 101
MESA, AZ 85204

Phone: 480-464-8500
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Urgent Care	261QU0200X

Indicates primary specialty

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NPI Profile & details for CIGNA HEALTH CARE OF ARIZONA INC

NPI # 1467564302

LBN Legal business name CIGNA HEALTH CARE OF ARIZONA INC

Authorized official KEVIN ELLIS - (CHIEF MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/31/2006

Last updated 06/16/2023 - About 3 years ago

Identifiers

AZ	License #	OTC 4338
AZ	Medicaid	061797

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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