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CIGNA HEALTHCARE OF ARIZONA INC. NPI 1588804280


NPI Information

NPI: 1588804280
Provider Name: CIGNA HEALTHCARE OF ARIZONA, INC.

Doing Business As: EVERNORTH CARE GROUP GILBERT HEALTH CENTER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 03D1094790

Address:
3717 S ROME ST STE 101
GILBERT, AZ
ZIP 85297
Phone: (800) 233-3264
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CIGNA HEALTHCARE OF ARIZONA, INC. is a clinic center in Gilbert, 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 HEALTHCARE OF ARIZONA, INC. NPI is 1588804280. The provider is registered as an organization entity type.
The provider Is Doing Business As Evernorth Care Group Gilbert Health Center.

The provider's business location address is:

3717 S ROME ST STE 101
GILBERT, AZ
ZIP 85297-368
Phone: (800) 233-3264
Fax: (480) 722-2350

The provider's authorized official is Kevin Ellis .
The authorized official title is Chief Medical Director and has the following contact phone number (623) 277-2246.

The CLIA number assigned to this NPI record is 03D1094790 - health main. organization with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/20/2009 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterOTC4582ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.