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CIGNA HEALTH CARE OF ARIZONA INC. NPI 1649341298


NPI Information

NPI: 1649341298
Provider Name: CIGNA HEALTH CARE OF ARIZONA INC.

Doing Business As: EVERNORTH CARE GROUP CJ HARRIS MULTI-SPECIALTY CENTER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1920 E BASELINE RD
TEMPE, AZ
ZIP 85283
Phone: (480) 345-5000
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CIGNA HEALTH CARE OF ARIZONA INC. is a clinic center in Tempe, 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 1649341298. The provider is registered as an organization entity type.
The provider Is Doing Business As Evernorth Care Group Cj Harris Multi-specialty Center.

The provider's business location address is:

1920 E BASELINE RD
TEMPE, AZ
ZIP 85283-511
Phone: (480) 345-5000

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 enumeration date for this NPI number is 11/13/2006 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterOTC 0636ARIZONAYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1061854MEDICAIDARIZONA

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

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