CIGNA HEALTH CARE OF ARIZONA INC. NPI 1467531681

NPI Information

CIGNA HEALTH CARE OF ARIZONA INC. is a clinic center in Chandler, AZ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CIGNA HEALTH CARE OF ARIZONA INC. NPI is 1467531681. The provider is registered as an organization entity type.
The provider Is Doing Business As Evernorth Care Group Chandler Health Center.

The provider's business location address is:

1717 W CHANDLER BLVD
CHANDLER, AZ
ZIP 85224-145
Phone: (480) 821-7565

The provider's authorized official is Kevin Ellis .
The authorized official title is Cheif Medical Director and has the following contact phone number (602) 328-8400.

The CLIA number assigned to this NPI record is 03D0057458 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2006 and was last updated on 6/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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